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Oostenbrink Clinical Decision Rule for Meningitis
Aka: Oostenbrink Clinical Decision Rule for Meningitis, Dutch Meningitis Prediction Rule
- See Also
- Nigrovic Clinical Decision Rule (for CSF evaluation)
- Indications
- Meningitis evaluation in children
- Evaluate need for Lumbar Puncture in children ages 1 month to 15 years old
- Criteria: Sum the Positive Scores
- Symptoms
- Score 1/day: Main symptom duration (maximum of 10 days)
- Score 2: Vomiting
- Signs
- Score 8: Altered Level of Consciousness
- Score 7.5: Meningeal Irritation
- Score 6.5: Cyanosis
- Score 4: Petechiae
- C-Reactive Protein (CRP)
- Score 0: CRP <5 mg/dl or <50 mg/L
- Score 0.5: CRP 5 to 9.9 mg/dl or 50 to 99 mg/L
- Score 1: CRP 10 to 14.9 mg/dl or 100 to 149 mg/L
- Score 1.5: CRP 15 to 19.9 mg/dl or 150 to 199 mg/L
- Score 2: CRP >20 mg/dl or >200 mg/L
- Interpretation
- Score >8.5 points indicates need for Lumbar Puncture due to Bacterial Meningitis risk
- References
- Oostenbrink (2001) Acta Paediatr 90:611-7 [PubMed]
- Oostenbrink (2004) Eur J Epidemiol 19(2):115 [PubMed]