title: The bacterial meningitis score to distinguish bacterial from aseptic meningitis in children from Sao Paulo, Brazil.
abstract: In a retrospective cohort of 494 children with meningitis in Sao Paulo, Brazil, the Bacterial Meningitis Score identified all the children with bacterial meningitis (sensitivity 100%, 95% confidence interval: 92-100% and negative predictive value 100%, 95% confidence interval: 98-100%). Addition of cerebrospinal fluid lactate to the score did not improve clinical prediction rule performance.
authors.affiliation: From the *Pediatric Emergency Department, University of Sao Paulo, Sao Paulo, Brazil; and †Division of Emergency Medicine, Boston Children's Hospital, Boston, MA.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Mekitarian Filho
authors.forename: Sérgio Massaru
authors.initials: SM
authors.lastname: Horita
authors.forename: Alfredo Elias
authors.initials: AE
authors.lastname: Gilio
authors.forename: Anna Cláudia Dominguez
authors.initials: AC
authors.lastname: Alves
authors.forename: Lise E
authors.initials: LE
authors.lastname: Nigrovic
mesh_terms: D000293:Adolescent; D001938:Brazil; D002648:Child; D002675:Child, Preschool; D019411:Clinical Laboratory Techniques / Q000379:methods*; D015510:Clinical Medicine / Q000379:methods*; D015331:Cohort Studies; D003661:Decision Support Techniques; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008582:Meningitis, Aseptic / Q000175:diagnosis / Q000473:pathology; D016920:Meningitis, Bacterial / Q000175:diagnosis* / Q000473:pathology*; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012680:Sensitivity and Specificity