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Oostenbrink Clinical Decision Rule for Meningitis

Aka: Oostenbrink Clinical Decision Rule for Meningitis

See Also
1. Nigrovic Clinical Decision Rule (for CSF evaluation)
Indications
1. Meningitis evaluation in children
2. Ages: 1 month to 15 years old
Criteria
1. Duration of main symptoms: 1 pt/day (up to 10)
2. Vomiting: 2 pt
3. Physical exam
  1. Cyanosis: 6.5
  2. Altered Level of Consciousness: 8.0 pt
  3. Meningeal Irritation: 7.5 pt
  4. Petechiae: 4.0 pt
4. C-Reactive Protein (CRP)
  1. CRP <5: 0 pt
  2. CRP <10: 0.5 pt
  3. CRP <15: 1.0 pt
  4. CRP <20: 1.5 pt
  5. CRP >20: 2.0 pt
Interpretation
1. Score >8.5 points indicates need for Lumbar Puncture
References
1. Oostenbrink (2001) Acta Paediatr 90:611-7

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 10/21/2007 and last published on 5/14/2013.

This is one of 5887 pages in the Family Practice Notebook