![]() She has no past medical history, no HIV-risk factors, and has not traveled outside of the St. Working overnights (again) you face the dilemma of performing yet another lumbar puncture on a febrile 37-year old female with a non-specific, severe headache and fever of 18-hours duration. Note that all of these articles deal with children because you are unable to locate any recent study in adults to answer your PICO question. You next do a search on OVID, but yield an incomprehensibly long list of over 2000 references so you decide to search the term meningitis through the various EM journals and obtain the Academic EM reference below.įinally, you scour the bibliography of this Academic EM selection to find the Nigrovic article and perform a Web of Science review of the Nigrovic article to obtain the Bonsu article. Recognizing that CJEM is not MEDLINE accessible and therefore does not show up on Web of Science reviews, you turn to the bibliography of Graham’s narrative review and locate one of the following articles. Asking around, one of your colleagues provides you with an interesting narrative review from the Canadian Journal of Emergency Medicine (Graham TP, Myth: CSF Analysis Can Differentiate Bacterial Meningitis from Aseptic meningitis, CJEM 2003 5: 348-349) on this very topic. Search Strategy: You search the bibliography of Rosen’s and Roberts & Hedges, only to find numerous dated references circa the 1980’s. CSF Analysis in Bacterial versus a Septic Meningitis
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