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Aspectos dos líquidos cefalorraquidianos nas meningites bacterianas

Resumos

Foram colhidos 1815 líquidos cefalorraquidianôs de doentes internados com meningite, no Hospital Emílio Ribas, São Paulo, durante os meses de maio a outubro de 1989. Neisseria meningitidis 56%, dos quais 44% do tipo B; Haemophilus influenzae 17%, sendo 72 % isoladas de neonatos até 3 anos; Streptococcus pneumoniae 14%, dos quais 60% isolados de recém nascidos a 1 ano de idade. O estudo citoquímico liquórico mostrou: celularidade: global > 500cel/mm³ e específica > 70%; proteínas > 90mg/dl e glicose < 45mg/dl em 90% e celularidade < 500cel/mm³ entre 2 a 6% nos três tipos de meningites avaliadas. A bacterioscopia e o citoquímico Uquóricos foram decisivos na orientação da cultura epreditivos no diagnóstico etiológico dessas meningites (Teste de Goodman).

Liquor; Meningites bacterianas


Samples of 1815 cerebrospinal fluid (CSF) were studied in a meningitis outbreak during 1989 in São Paulo, Brazil. Neisseria meningitis 56% with 44% type B, Haemophilus influenzae 17%, from which 72% in children (days to 3-year old) and Streptococcus pneumoniae 14% from which 60% in children (day to 1- year old) of443 (24 %)of allstrains. Cytochemistry study showed: purulent or turbidity aspects in 70 to 79% positive bacterioscopy or culture of CSF; white cells count > 500/mm³; glucose < 45mg/dl; protein > 90mg/dl in 90% of all patients. We concluded that: CSF prognostic factors: (aspect and cytochemistry) were correlated with bacterial meningitis. Bacterioscopy and positive cultures were correlated to NM, SP and HI isolation from these patients (Goodman Test.)

Cerebrospinal fluid; Bacterial meningitis


ARTIGOS

Aspectos dos líquidos cefalorraquidianos nas meningites bacterianas

Claudia E. O. Pires de Campos; Nilse N. Q. Santos; Mirian N. Takahashi; Isabel E. Kawamura; Silvia V. Damião; Tuba M. Kushnaroff; Evanil Pires de Campos

Endereço para correspondência Endereço para correspondência: Dra. Claudia E. O. P. Campos. R. João Rafael 350, 18602-220 Botucatu, SP, Brasil.

RESUMO

Foram colhidos 1815 líquidos cefalorraquidianôs de doentes internados com meningite, no Hospital Emílio Ribas, São Paulo, durante os meses de maio a outubro de 1989. Neisseria meningitidis 56%, dos quais 44% do tipo B; Haemophilus influenzae 17%, sendo 72 % isoladas de neonatos até 3 anos; Streptococcus pneumoniae 14%, dos quais 60% isolados de recém nascidos a 1 ano de idade. O estudo citoquímico liquórico mostrou: celularidade: global > 500cel/mm3 e específica > 70%; proteínas > 90mg/dl e glicose < 45mg/dl em 90% e celularidade < 500cel/mm3 entre 2 a 6% nos três tipos de meningites avaliadas. A bacterioscopia e o citoquímico Uquóricos foram decisivos na orientação da cultura epreditivos no diagnóstico etiológico dessas meningites (Teste de Goodman).

Palavras-chave: Liquor. Meningites bacterianas.

ABSTRACT

Samples of 1815 cerebrospinal fluid (CSF) were studied in a meningitis outbreak during 1989 in São Paulo, Brazil. Neisseria meningitis 56% with 44% type B, Haemophilus influenzae 17%, from which 72% in children (days to 3-year old) and Streptococcus pneumoniae 14% from which 60% in children (day to 1- year old) of443 (24 %)of allstrains. Cytochemistry study showed: purulent or turbidity aspects in 70 to 79% positive bacterioscopy or culture of CSF; white cells count > 500/mm3; glucose < 45mg/dl; protein > 90mg/dl in 90% of all patients. We concluded that: CSF prognostic factors: (aspect and cytochemistry) were correlated with bacterial meningitis. Bacterioscopy and positive cultures were correlated to NM, SP and HI isolation from these patients (Goodman Test.)

Keywords: Cerebrospinal fluid. Bacterial meningitis.

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Recebido para publicação em 18/01/94.

Hospital Emílio Ribas, São Paulo, SP e Instituto de Biociências e Universidade Estadual Paulista, Botucatu, SP.

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  • Endereço para correspondência:

    Dra. Claudia E. O. P. Campos.
    R. João Rafael 350,
    18602-220
    Botucatu, SP, Brasil.
  • Datas de Publicação

    • Publicação nesta coleção
      10 Abr 2013
    • Data do Fascículo
      Jun 1994

    Histórico

    • Aceito
      18 Jan 1994
    • Recebido
      18 Jan 1994
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