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Dokumenter [5] Sider [2] Nyt fra tidsskrifterne [+20] Aktuelle smitsomme sygdomme [+20]
Dokumenter [5]

Initial diagnostik og behandling af formodet akut bakteriel meningitis.

Udgiver: Dansk Selskab for Infektionsmedicin 2018

Rapport og anbefaling vedrørende ulemper og fordele ved henholdsvis at undlade eller gennemføre lumbalpunktur for patienter i blodfortyndende behandling mistænkt for akut bakteriel meningitis.

Denne vejledning er tiltænkt diagnostik og behandling af formodet Lyme neuroborreliose hos voksne. Vejledningen er udarbejdet som et supplement til Borrelia klaringsrapport (2014).

Af Rikke Krogh-Madsen, formand for Dansk Selskab for Infektionsmedicin. Der er lige nu massivt fokus på læger der har begået fejl. Aktuelt drejer det sig om behandling af meningokoksygdom. Bestyrelsen for Dansk Selskab for Infektionsmedicin (DSI) kender ikke til detaljerne i de konkrete sager og har ikke set sagsakterne. Dette er derfor en generel udtalelse som tager udgangspunkt i udmeldingen fra Patienterstatningen vedr. de tre meningokok-sager.

Sider [2]

…ane Agergaard, Morten Sodemann og Marie Nørredam Influenza: Jens Lundgren (tovholder), Thomas Benfield, Jan Gerstoft, Isik Johansen, Gitte Kronborg, Henrik Nielsen, Lene Surland Knudsen, Merete Storgaard og Ole Kirk Influenza, Meningitis og encephalitis: Christian Brandt (tovholder), Helene Mens, Lars Omland, Lykke Larsen, Jacob Bodilsen, Lothar Wiese, Birgitte Rønde Hansen, Hans Rudolf von Lüttchau, Henrik Nielsen (referent) Akut bakteriel meningitis, Viral meningitis,.

. Sted: Auditorium A, Forskningens Hus, Aalborg Universitets Hospital, Syd, Søndre Skovvej 15, 9000 Aalborg. Program: Torsdag d. 19/9. 09.30-10.00 Kaffe og velkomst. 10.00-10.15 DASGIB og andre nationale samarbejder HN. 10.15-11.00 Viral meningitis. Christian Brandt. 11.00-11.10 PAUSE. 11.10-11.40 Infektiøs encephalitis (del 1). Jacob Bodilsen. 11.40-12.00 Kursister – CASE gruppe 1. 12.00-13.00 FROKOST. 13.00-13.40 Infektiøs encephalitis (del 2). Jacob Bodilsen.

…e Bengaard Andersen kommenterer: Læs ikke denne artikel - med mindre du har særlig tuberkulose interesse. Men hvem har ikke det i vores selskab? 'Linezolid manifests a rapid and dramatic therapeutic effect for patients with life-threatening tuberculous meningitis' af Feng Sun og kolleger publiceret i Antimicrobial Agents and Chemotherapy - et retrospektivt studie fra Kina, der antyder at Linezolid kan give et godt bidrag til behandling af tuberkuløs meningitis.

… Johansen kommenterer: Et trist resultat: I 2013 rapporterede Ruslami et al. (Lancet Infect Dis. 2013 Jan;13(1):27-35) nedsat mortalitet ved IV administrering af en øget dosis Rifampicin og Moxifloxacin i blot 14 dage til ca. 60 patienter med tuberkuløs meningitis - efterfulgt af standard behandling. Der var derfor store forventninger til denne store kliniske trial, hvor effekten af øget Rifampicin dosis samt et flourquinolon (per oralt) blev undersøgt på ca. 700 Vietnamesiske patienter.

…ndgrens studie af, hvornår man kan holde op med at give pneumocyste-profylakse til HIV-smittede eller de Gans studiet, der ændrede fik indført dexamethason i retningslinjerne for purulent meningitis. Her er formentlig et nyt studie, der kommer til at få indflydelse på standardbehandlingen af patienter med svær pneumoni. Læs en gang - og døm selv - jeg tager den med til næste års "Journal Highlights of the year", men tænkte at den måske allerede nu var god at få kendskab til. God læselyst :-)

Nyt fra tidsskrifterne [+20]

Der er mere end 20 resultater, måske du vil se flere resultater her?

Clinical Microbiology and Infection
25.03.2025
Pneumococcal meningitis is a severe infection with high mortality and morbidity rates [1]. Despite advances in antimicrobial therapy and supportive care, new treatment strategies are required to improve outcome [1]. One frequently observed complication is an elevated intracranial pressure (ICP), attributed to several pathophysiological mechanisms, including brain swelling due to cerebritis, cerebral infarctions, thrombosis and hemorrhages resulting from blood vessel inflammation [2].
BMC Infectious Diseases
23.03.2025
… Background. In low-resource settings, limited laboratory capacity adds to the burden of central nervous system (CNS) infections in children and spurs overuse of antibiotics. The commercially available BioFire® FilmArray® Meningitis/Encephalitis Panel (FA-ME) with its capability to simultaneously detect 14 pathogens in cerebrospinal fluid (CSF), could potentially narrow such a diagnostic gap. . Methods.
Infection
6.03.2025
. Background. Despite significant advances in prevention and treatment strategies, meningitis continues to pose a substantial global health challenge. The disease burden demonstrates marked geographical disparities, with disproportionate impact in resource-limited settings, particularly within the “meningitis belt” of Sub-Saharan Africa. The global meningitis burden is influenced by a complex interplay of environmental, behavioral, and socioeconomic determinants.
Infection
4.03.2025
. Abstract. . Background. Despite significant advances in prevention and treatment strategies, meningitis continues to pose a substantial global health challenge. The disease burden demonstrates marked geographical disparities, with disproportionate impact in resource-limited settings, particularly within the “meningitis belt” of Sub-Saharan Africa.
Clinical Infectious Diseases
22.02.2025
…m agents with activity against DTR gram-negatives are available including cefiderocol, ceftazidime-avibactam, ceftolozane-tazobactam, imipenem-cilastatin-relebactam, meropenem-vaborbactam, and sulbactam-durlobactam. In this article, we review host and drug factors that influence an antibiotic’s likely effectiveness for the treatment of bacterial meningitis. We also review the preclinical and clinical data in support of or against each of the aforementioned agents for the treatment of bacterial meningitis.
Journal of Infectious Diseases
19.02.2025
Abstract . Background . Tuberculous meningitis (TBM)-related deaths occur early, often within weeks after initiation of treatment. Enhanced treatment early in the disease course with agents that effectively penetrate the central nervous system may improve outcomes in TBM.Methods .
Clinical Microbiology and Infection
14.02.2025
Intracranial devices may be used to treat or guide treatment of increased intracranial pressure in patients with pneumococcal meningitis. European guidelines do not recommend the routine use of intracranial devices in management of pneumococcal meningitis. However, in some countries, intracranial devices are used routinely, but the effect remains unknown.
International Journal of Infectious Diseases
31.01.2025
Human parechovirus (HPeV) infection is increasingly recognized as a cause of severe illness in infants, including sepsis, meningitis, encephalitis, and seizures [1]. In neonates, HPeV encephalitis is associated with white matter injury and neurodevelopmental sequelae [2,3]. To our knowledge, there are only three case reports of congenitally acquired parechovirus infection.
BMC Infectious Diseases
25.01.2025
. Abstract. . Background. Bacterial meningitis (BM) is a life-threatening central nervous system infection with potential for severe neurological sequelae. High mobility group box 1 (HMGB1) is known as a late inflammatory mediator associated with lethal pathology. This study aims to investigate the serial cerebrospinal fluid (CSF) concentrations of HMGB1 in children with BM and its relationship to neurological prognosis. .
Clinical Infectious Diseases
15.01.2025
Abstract . Background . More than half of people diagnosed with human immunodeficiency virus–associated cryptococcal meningitis are antiretroviral therapy (ART)-experienced. The impact of recent ART initiation (≤14 days) on outcomes from cryptococcal meningitis, and how to optimally manage ART in this patient population, are unknown.Methods .
American Journal of Tropical Medicine and Hygiene
9.01.2025
. . Journal Name: The American Journal of Tropical Medicine and Hygiene Volume: 112 Issue: 1 Pages: 30-36. .
Clinical Microbiology and Infection
12.12.2024
Biomarkers for paediatric bacterial meningitis are essential for accurate diagnosis.
American Journal of Tropical Medicine and Hygiene
4.12.2024
. . Journal Name: The American Journal of Tropical Medicine and Hygiene Volume: 111 Issue: 6 Pages: 1247-1251. .
American Journal of Tropical Medicine and Hygiene
6.11.2024
. . Journal Name: The American Journal of Tropical Medicine and Hygiene Volume: 111 Issue: 5 Pages: 1024-1026. .
Current Opinion in Infectious Diseases
1.11.2024
Purpose of review . Recently, fungal meningitis outbreaks have occurred in association with neuraxial and epidural anesthesia in immunocompetent patients. Herein, we describe the course of those outbreaks, their diagnosis, treatment, prognosis, and lessons learned. Recent findings . Two outbreaks of Fusarium solani meningitis during 2022–2023 were associated with epidural anesthesia in two distant cities in Mexico (Durango and Matamoros).
BMC Infectious Diseases
23.10.2024
. Abstract. . Background. Pneumococcal meningitis, a vaccine-preventable disease caused by Streptococcus pneumoniae (Spn) is the leading bacterial meningitis in under five children. In April 2014, Uganda introduced routine immunization with 10-valent Pneumococcal Conjugate Vaccine (PCV10) for infants. The target coverage for herd immunity is ≥ 90% with three doses (PCV10-dose 3).
BMC Infectious Diseases
22.10.2024
…bstract. . Background. Streptococcus pneumoniae (S. pneumoniae), Haemophilus influenzae (H. influenzae), and Neisseria meningitidis (N. meningitidis) are leading causes of childhood bacterial meningitis and preventable by vaccines.
Aktuelle smitsomme sygdomme [+20]

Der er mere end 20 resultater, måske du vil se flere resultater her?

Medscape Infectious Diseases
27.03.2025
Children with pneumococcal meningitis have a lower risk for 30-day mortality when treated with early adjunctive dexamethasone, a study shows. . Medscape News UK
ProMED
25.03.2025
. . . MENINGITIS, MENINGOCOCCAL - NIGERIA (02): (KEBBI) FATAL. *******************************************************. A ProMED-mail post. www.promedmail.org. ProMED-mail is a program of the. International Society for Infectious Diseases. www.isid.org . Date: Wed 19 Mar 2025 . Source: Daily Trust [edited] . dailytrust.com/meningitis-death-toll-rises-to-55-in-kebbi/ . . . The Kebbi State Government says the death toll in the outbreak of.
ProMED
16.03.2025
. . . MENINGITIS, VIRAL - INDIA: (KERALA). ***********************************. A ProMED-mail post. www.promedmail.org. ProMED-mail is a program of the. International Society for Infectious Diseases. www.isid.org . Date: Thu 13 Mar 2025 . Source: TimesNow [edited] . www.timesnownews.com/health/meningitis-cases-surge-in-kochi-2-kids-infected-3-show-symptoms-is-your-child-at-risk-article-118960219 . . . Five students from St.
ProMED
15.03.2025
. . . MENINGITIS - GHANA (04): (UPPER WEST, UPPER EAST) UPDATE, ALERT. ***************************************************************. A ProMED-mail post. www.promedmail.org. ProMED-mail is a program of the. International Society for Infectious Diseases. www.isid.org . Date: Mon 10 Mar 2025 15:01 GMT . Source: 3 News [edited] . 3news.com/news/ghs-on-high-alert-for-severer-strain-of-meningitis-director-general/ . . .
ProMED
14.03.2025
. . . MENINGITIS, MENINGOCOCCAL - NIGERIA: (KEBBI) FATAL. **************************************************. A ProMED-mail post. www.promedmail.org. ProMED-mail is a program of the. International Society for Infectious Diseases. www.isid.org . Date: Tue 11 Mar 2025 . Source: Newsday.com [edited] . www.newsday.com/news/nation/nigeria-meningitis-outbreak-kebbi-m92852 . . . Nigerian authorities confirmed Tuesday [11 Mar 2025] that a meningitis.
ProMED
3.03.2025
. . . MENINGITIS - GHANA (03): (UPPER WEST) UPDATE. ********************************************. A ProMED-mail post. www.promedmail.org. ProMED-mail is a program of the. International Society for Infectious Diseases. www.isid.org . Date: Tue 25 Feb 2025 . Source: Citi Newsroom [edited] . citinewsroom.com/2025/02/csm-outbreak-in-upper-west-region-worsens-173-cases-16-deaths/ . . . The Upper West Region is grappling with a worsening meningitis.
ProMED
28.02.2025
. . . MENINGITIS - TUNISIA: (KAIROUAN) UNIVERSITY STUDENTS, FATAL, REQUEST. FOR INFORMATION. ************************************************************************************. A ProMED-mail post. www.promedmail.org. ProMED-mail is a program of the. International Society for Infectious Diseases. www.isid.org . Date: Mon 24 Feb 2025 . Source: AlArarby Algadid [in Arabic, trans. & summ. Mod.MM, edited] . tinyurl.com/kanuk898 . . .
ProMED
26.02.2025
. . . MENINGOCOCCAL DISEASE - VIET NAM (02): (HO CHI MINH CITY) MENINGITIS. ********************************************************************. A ProMED-mail post. www.promedmail.org. ProMED-mail is a program of the. International Society for Infectious Diseases. www.isid.org . Date: Mon 24 Feb 2025 . Source: VN Express [in Vietnamese, machine trans., edited] . vnexpress.net/nguoi-dan-ong-o-tp-hcm-mac-nao-mo-cau-4853017.html . . .
ProMED
11.02.2025
. . . MENINGITIS - GHANA (02): (UPPER WEST) UPDATE. ********************************************. A ProMED-mail post. www.promedmail.org. ProMED-mail is a program of the. International Society for Infectious Diseases. www.isid.org . Date: Fri 7 Jan 2025 . Source: MSN/Ghana News Agency [edited] . tinyurl.com/367jekcn . . . Dr Sebastian Ngmenenso Sandaare, a National Democratic Congress (NDC). Member of Parliament (MP) for Daffiama Bussie Issa, has sounded the.
ProMED
6.02.2025
. . . MENINGITIS, MENINGOCOCCAL - TAIWAN: FIRST CASE OF THE YEAR, ELDERLY,. FATAL. **************************************************************************. A ProMED-mail post. www.promedmail.org. ProMED-mail is a program of the. International Society for Infectious Diseases. www.isid.org . Date: Wed 5 Feb 2025 . Source: Focus Taiwan [edited] . focustaiwan.tw/society/202502050005 . . . Taiwan has reported its 1st case of meningococcal meningitis this year.
ProMED
2.02.2025
. . . MENINGITIS - GHANA: (UPPER WEST) FATAL. **************************************. A ProMED-mail post. www.promedmail.org. ProMED-mail is a program of the. International Society for Infectious Diseases. www.isid.org . Date: Mon 27 Jan 2025 . Source: Citi Newsroom [edited] . citinewsroom.com/2025/01/upper-west-region-records-17-suspected-cases-of-meningitis-6-deaths/ . . . The Upper West Region has reported 17 suspected cases of cerebrospinal.
ProMED
20.01.2025
. . . MENINGITIS - TOGO: (KARA) EPIDEMIC. **********************************. A ProMED-mail post. www.promedmail.org. ProMED-mail is a program of the. International Society for Infectious Diseases. www.isid.org . Date: Wed 15 Jan 2025 . Source: Togo Scoop Info [in French, machine trans., edited] . togoscoop.tg/epidemie-de-meningite-le-district-de-dankpen-en-alerte/ . . . A series of meningitis cases have been reported in the Kara region,.
Medscape Infectious Diseases
14.05.2024
Meningitis was among three strong clinical risk factors identified in a nationwide, population-based study. . Medscape Medical News
Eurosurveillance latest updates
5.04.2024
Elizabethkingia anophelis is a multidrug-resistant pathogen causing high mortality and morbidity in adults with comorbidities and neonates. We report a Dutch case of E. anophelis meningitis in a neonate, clonally related to samples taken from an automated infant milk dispenser located at the family’s residence. We inform about the emergence of E. anophelis and suggest molecular surveillance in hospitals and other health settings.
ProMED
27.03.2025
…--------- . Who is at risk‎ . Infants and people with weakened immune systems have a greater chance. of having these complications. . 'Some non-polio enterovirus infections can cause: . - Viral conjunctivitis . - Hand, foot, and mouth disease . - Viral meningitis (infection of the covering of the spinal cord. and/or brain) . - Viral encephalitis (infection of the brain) . - Myocarditis (infection of the heart) . - Pericarditis (infection of the sac around the heart) .
ProMED
25.03.2025
…nsumed in a dish known as tiet canh. The. main ingredients of porcine tiet canh include coagulated, fresh,. uncooked blood mixed with chopped cooked pork tissues. Consumption of. raw pig products is associated with trichinellosis and _Streptococcus. suis_ meningitis in humans in Viet Nam. . _S. suis_ is a common gram-positive bacterium found in pigs, which can. cause severe infections in humans; ≈90% of human cases are reported. from Asia. Case-fatality rates range from 3% to 7% but may reach.
ProMED
25.03.2025
…TEC) . - Enteroinvasive _E. coli_ (EIEC) . - Shiga toxin-producing _E. coli_ (STEC) . - Enteroaggregative _E. coli_ (EAEC) . - And possibly diffusely adherent _E. coli_ (DAEC) . (Pathotypes that cause urinary tract infections, bloodstream. infections, and meningitis are not covered here.) . . 'Serotypes of _E. coli_ are determined by surface antigens (O and H),. and specific serotypes tend to cluster within certain pathotypes. Rarely, an _E. coli_ strain has virulence factors of more than one. pathotype.
ProMED
25.03.2025
…. . Clinical signs of salmonellosis include diarrhea, fever, lethargy,. anorexia, colic, localized infection, sepsis and septic shock. Foals. are commonly more seriously affected with profound systemic illness,. including hemorrhagic diarrhea, pneumonia, meningitis, inflammation of. growth plate and septic arthritis. . . Treatment of the severe form of salmonellosis is based on IV fluid and. electrolyte replacement and efforts to control the host's responses.
Medscape Infectious Diseases
24.03.2025
Invasive group B Streptococcus disease in early infancy increases the risk for psychiatric disorders through adolescence, with infants with meningitis having a higher incidence of these disorders than those with sepsis. . Medscape News UK
ProMED
20.03.2025
…people affected by listeriosis. will have no symptoms or experience mild diarrhoea, which subsides in. a few days. . 'Those who are more vulnerable like the severely immunocompromised or. those with advanced aged can be at risk of severe illness such as. meningitis and life-threatening sepsis.' . . Listeriosis in pregnancy can cause very serious illness in mothers and. their babies, and in babies up to one month old. . According to the NHS, listeria can contaminate a wide range of foods,.

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