BackgroundLumbar puncture (LP) is usually performed when there is a clinical suspicion of meningitis in babies with suspected sepsis. NICE recently published their guidelines on 'antibiotics for early-onset neonatal infections' with guidance on when LPs should be considered.AimTo audit the number of...
Lumbar puncture is a procedure performed to collect cerebrospinal fluid from the subarachnoid space through a puncture between 2 lumbar vertebrae. From: Annals of Emergency Medicine, 2021 About this pageAdd to MendeleySet alert Also in subject areas: ...
Aims We aim to determine the optimal technique for lumbar puncture in newborn infants by evaluating the success rate, short-term clinical, resource, and safety outcomes of two modifications to traditional LP technique: infant position (sitting vs lying) and timing of stylet removal (early vs ...
Among the 196 "high-risk" babies, 26% had bacterial infection, compared to only 3% of the 296 infants at low risk (p < 0.0001), denoting a sensitivity of 85% and a specificity of 65% of the clinical classification criteria. Lumbar puncture was done to 186 (46%) infants upon hospital...
BackgroundLumbar puncture (LP) is usually performed when there is a clinical suspicion of meningitis in babies with suspected sepsis. NICE recently published their guidelines on 'antibiotics for early-onset neonatal infections' with guidance on when LPs should be considered.AimTo audit the indications...
Based on this study, routine lumbar puncture may not be required in clinically normal newborns with adverse obstetric factors. In babies with clinical sepsis, though the yield is not very high; there are no reliable clinical or laboratory markers to predict which babies will have meningitis and ...
Background The intercristal line (ICL), defined by the superior aspect of the iliac crest, is used to clinically identify the entry point for lumbar puncture (LP) in neonates. Accepted practice is to insert the needle at the L3/4 or L4/5 intervertebral space. Aim To investigate the ...
lumbar puncturemeningitisneonatalsepsisObjective: The importance of lumbar puncture (LP) as part of the evaluation of suspected neonatal sepsis is assessed, as it may be the only positive diagnostic test in about 10% of septic babies with meningitis but negative blood cultures. However, LP may ...
In total 31/228 babies had an LP; 14/31 infants had clinical concern of infection. Clinical concern for infection was similar in the 'LP group' and 'non-LP group'. The 'LP group' had a larger proportion of maternal pyrexia (18/31 vs. 60/137, p < 0.05) and median maximum CRP (...