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