Calculater_CSF THE REFINED BACTERIAL MENINGITIS
SCORE FOR IDENTIFYING BACTERIAL
MENINGITIS AMONG NEONATES
Doctor
This calculator evaluates the risk stratification of bacterial meningitis in neonates, helping clinicians for identifying bacterial meningitis.

The Data you input will not be recorded and stored.
This is for your reference only, as peer review is ongoing
Calculator
Items Value
Age
(day)
 day
Antibiotic pretreatment before diagnostic LP
(Yes or No)
CSF red blood cell (×106/L)
CSF protein
(mg/L)
CSF absolute neutrophil count
Positive CSF Gram stain
(Yes or No)
Result
Risk =
Subjects How to use Note
Subjects Return to TOP
  • The algorithm was derived from 475 Chinese full-term neonates with CSF pleocytosis (defined as a CSF WBC ≥10 ×106 cells/L) and with no antibiotic pretreatment within 72 hours of their diagnostic lumber punctures.
How to use Return to TOP
  • Enter CSF protein level (< 1650 mg/L or ≥ 1650 mg/L), CSF absolute neutrophil count (< 84×106 cells/L or ≥ 84×106 cells/L), and Positive CSF Gram stain (Yes or No) , then the risk stratification are calculated automatically as not low risk and very low risk.
  • If a patient is at not low risk, he or she is suggested to use prolonged broad-spectrum antibiotic.
  • If at very low risk, he or she is not suggested to use prolonged broad-spectrum antibiotic.
Note Return to TOP
  • Patients older than 28 days or with antibiotic pretreatment before diagnostic lumber puncture or CSF red blood >1000×106 cells/L are not applicable to this calculator.
Wang et al. An improved clinical prediction rule for identifying neonatal bacterial meningitis in the neonatal intensive care unit.

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