Abstract
High incidences of infectious meningitis with high mortality index remains occurring in Brazil, despite of the prevention programs and significant advances in the microorganism identification technologies. The laboratorial examination of the cerebrospinal fluid (CSF) is fundamental for accomplishing an accurate diagnosis and for introducing adequate treatment. Microscopic examination, culture, and antigen detection have been used in laboratory routine. This study aimed to assess the techniques used in Sergipe in the period from 1997 to 2003 for infectious meningitis diagnosis. The 510 record sheets of patients with suspicion of meningitis, who had given entrace during that period in the Central Laboratory of Health Public - Instituto Parreiras Horta in the State of Sergipe, were analyzed. Analyzes on absolute frequencies of the tests used for infectious meningitis diagnosis was carried out. In the last years, are duction in frequency of cases confirmed by culture has perceived. This fact has also been noticed in other Brazilian laboratories. On the other hand, a substantial increase in the number of cases confirmed by bacterioscopy (Gram stain) has been observed. Efficient meningitis diagnosis provides significant clinical benefits for monitoring patients, introducing the antimicrobial therapy, and for disease evolution following-up.References
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