Validation of the Uniform Case Definition Criteria for Differentiating Tuberculous Meningitis, Viral Meningitis, and Bacterial Meningitis in Adults.
Bacterial meningitis
Differentiation
The uniform tuberculous meningitis case definition
Tuberculous meningitis
Viral meningitis
Journal
Infection & chemotherapy
ISSN: 2093-2340
Titre abrégé: Infect Chemother
Pays: Korea (South)
ID NLM: 101531537
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
19
02
2019
accepted:
17
03
2019
entrez:
5
7
2019
pubmed:
5
7
2019
medline:
5
7
2019
Statut:
ppublish
Résumé
We validated the uniform case definition for differentiating tuberculous meningitis (TBM) from both viral meningitis (VM) and bacterial meningitis (BM) in adults from South Korea, a country with an intermediate TB-burden. 'Probable' TBM differentiated 'definite' TBM with a sensitivity of 81% and specificity of 98%. 'Possible TBM' criteria identified 'definite' TBM with a sensitivity of 100% and specificity of 60%. Despite the usefulness of the uniform case definition criteria, there was substantial overlaps among VM, BM, and 'possible' TBM, especially in severe cases of VM and indolent cases of BM.
Identifiants
pubmed: 31270999
pii: 51.188
doi: 10.3947/ic.2019.51.2.188
pmc: PMC6609752
doi:
Types de publication
Journal Article
Langues
eng
Pagination
188-190Subventions
Organisme : National Research Foundation of Korea
ID : 2018R1D1A09082099
Pays : Korea
Organisme : Asan Institute for Life Sciences, Asan Medical Center
ID : 2018-7040
Pays : Korea
Informations de copyright
Copyright © 2019 by The Korean Society of Infectious Diseases and Korean Society for Antimicrobial Therapy.
Déclaration de conflit d'intérêts
No conflicts of interest.
Références
Clin Infect Dis. 2010 May 15;50(10):1349-58
pubmed: 20380567
Lancet Infect Dis. 2010 Nov;10(11):803-12
pubmed: 20822958
Eur Respir J. 2012 Mar;39(3):768-70
pubmed: 22379149
Clin Infect Dis. 2014 Dec 1;59(11):1574-8
pubmed: 25139968
Int J Tuberc Lung Dis. 2016 Jul;20(7):903-8
pubmed: 27287642
Clin Infect Dis. 2017 Feb 15;64(4):501-509
pubmed: 28172588
Nat Rev Neurol. 2017 Oct;13(10):581-598
pubmed: 28884751