Sökning: WFRF:(Bläckberg Jonas) > (2010-2014) > Early lumbar punctu...
Fältnamn | Indikatorer | Metadata |
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000 | 04749naa a2200817 4500 | |
001 | oai:gup.ub.gu.se/183077 | |
003 | SwePub | |
008 | 240528s2013 | |||||||||||000 ||eng| | |
009 | oai:lup.lub.lu.se:649a4d9e-72a8-4151-b4b6-6c3e64df91dc | |
009 | oai:prod.swepub.kib.ki.se:127223665 | |
009 | oai:DiVA.org:uu-207194 | |
024 | 7 | a https://gup.ub.gu.se/publication/1830772 URI |
024 | 7 | a https://doi.org/10.3109/00365548.2013.7992892 DOI |
024 | 7 | a https://lup.lub.lu.se/record/40271862 URI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1272236652 URI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2071942 URI |
040 | a (SwePub)gud (SwePub)lud (SwePub)kid (SwePub)uu | |
041 | a eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Glimaker, M.4 aut |
245 | 1 0 | a Early lumbar puncture in adult bacterial meningitis-rationale for revised guidelines |
264 | c 2013-07 | |
264 | 1 | b Informa UK Limited,c 2013 |
520 | a Current international guidelines recommend cerebral computerized tomography (CT) before lumbar puncture (LP) in many adults with suspected acute bacterial meningitis (ABM), due to concern about LP-induced cerebral herniation. Despite guideline emphasis on early treatment based on symptoms, performing CT prior to LP implies a risk of delayed ABM treatment, which may be associated with a fatal outcome. Firm evidence for LP-induced herniation in adult ABM is absent and brain CT cannot discard herniation. Thus, the recommendation to perform CT before LP may contribute to an avoidable delay of LP and ABM treatment. The inappropriate use of the diagnostic treatment sequence of brain CT scan, followed by LP, followed by antibiotics and corticosteroids should be avoided in adults with suspected ABM by omitting needless contraindications for LP, thus eliminating an unnecessary fear of immediate LP. Revised Swedish guidelines regarding early LP are presented, and the background documentation and reasons for omitting impaired consciousness, new onset seizures, and immunocompromised state as contraindications to LP are discussed. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Infektionsmedicin0 (SwePub)302092 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Infectious Medicine0 (SwePub)302092 hsv//eng |
653 | a Meningitis | |
653 | a lumbar puncture | |
653 | a herniation | |
653 | a antibiotics | |
653 | a treatment delay | |
653 | a RAISED INTRACRANIAL-PRESSURE | |
653 | a PNEUMOCOCCAL MENINGITIS | |
653 | a COMPUTED-TOMOGRAPHY | |
653 | a CEREBRAL HERNIATION | |
653 | a MANAGEMENT | |
653 | a DIAGNOSIS | |
653 | a EMERGENCY | |
653 | a CHILDREN | |
653 | a CT | |
653 | a HYPERTENSION | |
653 | a UBER MG | |
653 | a 1985 | |
653 | a JOURNAL OF INFECTIOUS DISEASES | |
653 | a V151 | |
653 | a P528 | |
653 | a LAN DA | |
653 | a 1989 | |
653 | a ANNALS OF EMERGENCY MEDICINE | |
653 | a V18 | |
653 | a P856 | |
653 | a Meningitis | |
700 | 1 | a Johansson, B.4 aut |
700 | 1 | a Bell, Maxu Karolinska Institutet4 aut |
700 | 1 | a Ericsson, Matsu Uppsala universitet,Infektionssjukdomar4 aut0 (Swepub:uu)mater187 |
700 | 1 | a Bläckberg, Jonasu Lund University,Lunds universitet,Infektionsmedicin,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Infection Medicine (BMC),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)infek-bg |
700 | 1 | a Brink, Magnus,d 1960u Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine4 aut |
700 | 1 | a Lindquist, L.u Karolinska Institutet4 aut |
700 | 1 | a Sjölin, Janu Uppsala universitet,Infektionssjukdomar4 aut0 (Swepub:uu)jasjo255 |
710 | 2 | a Karolinska Institutetb Infektionssjukdomar4 org |
773 | 0 | t Scandinavian Journal of Infectious Diseasesd : Informa UK Limitedg 45:9, s. 657-663q 45:9<657-663x 0036-5548x 1651-1980 |
856 | 4 | u http://dx.doi.org/10.3109/00365548.2013.799289y FULLTEXT |
856 | 4 8 | u https://gup.ub.gu.se/publication/183077 |
856 | 4 8 | u https://doi.org/10.3109/00365548.2013.799289 |
856 | 4 8 | u https://lup.lub.lu.se/record/4027186 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:127223665 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-207194 |
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