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


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Resumo

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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Sobre autores

Margarita 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 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 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 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 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 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 Kovalenko

Infectious Clinical Hospital No. 2 of the Moscow Healthcare Department

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

Bibliografia

  1. Неотложная и скорая медицинская помощь при острой инфекционной патологии. Руководство для врачей и фельдшеров. Под ред. проф. Н.Ф. Плавунова. М.: ГЭОТАР-Медиа. 2021; 512 с. ISBN: 978-5-9704-5934-8.
  2. van de Beek D., Cabellos C., Dzupova O. et al. ESCMID Study Group for Infections of the Brain (ESGIB) ESCMID guideline: diagnosis and treatment of acute bacterial meningitis. Clin Microbiol Infect. 2016; 22 (Suppl 3): S37-62. doi: 10.1016/j.cmi.2016.01.007.
  3. Григорьева В.Н., Меньшиков А.Ю. Неотложная диагностика и терапия острых инфекций ЦНС. Учебное пособие. Н. Новгород: Издательство Нижегородской государственной медицинской академии. 2017; 92 с. ISBN: 978-5-7032-1164-9
  4. Инфекционные болезни: национальное руководство. Под ред. Н.Д. Ющука, Ю.Я. Венгерова. 2-е изд. М. ГЭОТАР-Медиа. 2018; 1104 с.
  5. McGill F., Heyderman R.S., Panagiotou S. et al. Acute bacterial meningitis in adults. Lancet. 2016; 388(10063): 3036-47. doi: 10.1016/ S0140-6736(16)30654-7.
  6. Королева М.А., Покровский В.И., Миронов К.О. с соавт. Эпидемиологический мониторинг за гнойными бактериальными менингитами в историческом и современном аспекте. Эпидемиология и инфекционные болезни. Актуальные вопросы. 2014; 2: 52-56.
  7. Лобзин Ю.В., Пилипенко В.В., Резванцев М.В. Ранний прогноз при бактериальных гнойных менингитах. Журнал инфектологии. 2011; 1: 53-58. doi: https://doi.org/10.22625/2072-6732-2011-3-1-40-47.
  8. Венгеров Ю.Я., Нагибина М.В., Коваленко Т.М. с соавт. Актуальные аспекты патогенеза, диагностики и лечения бактериальных гнойных менингитов. Инфекционные болезни: новости, мнения, обучение. 2018; 1: 78-85.
  9. Венгеров Ю.Я., Нагибина М.В., Плавунов Н.Ф. с соавт. Методические указания № 88 «Диагностика и лечение бактериальных менингитов в условиях скорой и неотложной медицинской помощи». 2019; 66 с.
  10. Лобзин Ю.В., Скрипченко Н.В., Вильниц А.А. с соавт. Гнойные менингиты у детей в мегаполисе: клинико-эпидемиологические аспекты за период 1990-2017 гг. Инфекционные болезни. 2019; 1: 12-19. doi: https://doi.org/10.20953/1729-9225-2019-1-12-19.
  11. Приказ Министерства здравоохранения Российской Федерации от 05.07.2016 № 462н «Об утверждении стандарта скорой медицинской помощи при менингитах».
  12. Белобородов В.Б., Александрова И.А., Пилипенко В.В. с соавт. Практические рекомендации по лечению бактериальных менингитов: учебно-методическое пособие. Минск: Асобны. 2008; 48 с.
  13. Alamarat Z., Hasbun R. Management of acute bacterial meningitis in children. Infect Drug Resist. 2020; 13: 4077-89. doi: 10.2147/IDR.S240162.
  14. Poplin V., Boulware D.R., Bahr N.C. Methods for rapid diagnosis of meningitis etiology in adults. Biomark Med. 2020; 14(6): 459-79. doi: 10.2217/bmm-2019-0333.

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