Clinical evaluation of the score table of meningitis disease in children to treatment meningitisin Bandar Abbas Children's Hospital during ۲۰۱۸-۲۰۱۹

Introduction: Meningitis caused by bacteria is a medical emergency that requires immediate diagnosis andtreatment. Differentiating between bacterial and aseptic meningitis in children presenting to the emergencyroom could help reduce the inappropriate use of antibiotics and hospital admissions. Aseptic and bacterialmeningitis can present similarly. A clinical prediction method known as the bacterial meningitis score (BMS)can be used to determine whether children with CSF pleocytosis have an extremely low probability ofdeveloping bacterial meningitis. Thus, the purpose of this study was to evaluate the clinical status of the bacterialmeningitis score in children who were admitted to the pediatric hospital of Bandarabbas between ۲۰۱۴ and۲۰۱۹.Methods: Between ۲۰۱۴ and ۲۰۱۹, ۷۱ suitable patients with a diagnosis of meningitis who were hospitalizedto the Pediatric Hospital of Bandar abbas were included in this study. They were separated into two groups:those who were partially treated (i.e., administered antibiotics prior to lumbar puncture) and those who werenot. These patients' essential data were taken from their medical records, and the BMS table was used to assignscores. Subsequently, the information was imported into the SPSS۲۱ statistical program, and relevant statisticaltechniques were applied for analysis.Results: Out of the ۷۱ patients who met the eligibility criteria, ۱۷ (۲۳.۹%) were female, and ۵۴ (۷۶.۱%) weremale. They were ۳۳.۸۷ + ۳۵.۰۸ months old on average. Only ۲(۲.۹%) patients did not get antibiotics prior tolumbar puncture, while ۶۹(۹۷.۱%) patients had only partial treatment. Of the ۷۱ individuals that were part ofthe study, ۱۱ (۱۵.۵%) had bacterial meningitis according to standard diagnostic techniques (positive CSF orblood culture), and ۲۷ (۳۸%), according to BMS, were at high risk for bacterial meningitis.Conclusion: Both approaches yielded quite significant agreement: ۷۷.۵% (۵۵ patients) of our statisticalpopulation had bacterial meningitis. ۱۰۰%, ۷۳.۳۳%, ۴۰.۷۴%, and ۱۰۰%, respectively, were the correspondingvalues for sensitivity, specificity, positive predictive value, and negative predictive value.