Bacterial purulent meningitis: problems of diagnosis and treatment in the prehospital setting


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Abstract

An important role for the course and outcome of bacterial purulent meningitis (BPM) is the timely diagnosis and early hospitalization of patients in a specialized hospital. The problem of early clinical diagnosis of BPM at the prehospital stage is primarily due to the similarity of clinical symptoms with a number of other acute CNS lesions and can lead to diagnostic errors, delayed profile hospitalization and an increase in the number of patients with severe course. The use of algorithms for the diagnosis of BPM at the primary stage allowed to improve the quality of prehospital care for patients. The number of patients with BGM delivered by SMP teams to non-infectious hospitals in 2019 decreased by 55,4% compared to 2017, in the group of children by 88%, which had a positive effect on reducing the number of complications, deaths, and adverse consequences of BPM.

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About the authors

Margarita V. Nagibina

A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia

Email: infektor03@gmail.com
MD, professor of the Department of infectious diseases and epidemiology 105275, Moscow, 15/4 8th Sokolinoy gory Str

Yuri Ya. Vengerov

A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia

Email: infektor03@gmail.com
MD, professor of the Department of infectious diseases and epidemiology 105275, Moscow, 15/4 8th Sokolinoy gory Str

Nikolay F. Plavunov

A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia; First Aid Station named after A.S. Puchkov

Email: info@ssnmp.mosgorzdrav.ru
MD, professor, head of the Department of emergency medicine of the Faculty of general medicine; Chief freelance specialist; Chief freelance specialist for emergency medical care of the Moscow Healthcare Department, Chief physician 109263, Moscow, 4 Shkuleva Str

Valery A. Kadyshev

A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia; First Aid Station named after A.S. Puchkov

Email: damask51@rambler.ru
PhD, associate professor of the Department of emergency medicine of the Faculty of general medicine; head of the organizational and methodological Department of emergency medical care 109263, Moscow, 4 Shkuleva Str

Andrey M. Sidorov

A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia; First Aid Station named after A.S. Puchkov

Email: sidorov_03@mail.ru
PhD, associate professor of the Department of emergency medicine of the Faculty of general medicine; senior physician of the Department of quality control and safety of medical activities 109263, Moscow, 4 Shkuleva Str

Tatiana Yu. Smirnova

Infectious Clinical Hospital No. 2 of the Moscow Healthcare Department

head of the 3rd infectious diseases Department 105275, Moscow, 15 8th Sokolinoy gory Str

Tatiana M. Kovalenko

Infectious Clinical Hospital No. 2 of the Moscow Healthcare Department

head of express laboratory 105275, Moscow, 15 8th Sokolinoy gory Str

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