Care of the patient with invasive meningococcal disease by prehospital emergency medical service clinicians: a scoping review

Pearce, J. W.; Peters, Micah D J; May, Nikki; Marshall, Helen; Hein, Cindy; Grantham, Hugh

doi:10.1136/bmjopen-2019-033447

Cited by 5 publications

(2 citation statements)

References 50 publications

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“…A doença meningocócica invasiva (DMI) é uma infecção grave causada pela invasão sanguínea e/ou encefálica da Neisseria meningitidis (READ, 2019). O reconhecimento precoce e manejo adequado nas unidades de emergência é de suma importância em função da progressão rápida dos sintomas, alta taxa de letalidade quando não tratada (50-80 %) e risco de sequelas neurológicas nos sobreviventes (PEARCE et al, 2020;NUNES et al, 2021).…”

Section: Introductionunclassified

Manejo Da Doença Meningocócica Na Emergência

Souza¹,

Brito²,

Santos³

et al. 2022

Teoria E Prática Trauma E Emergência - Ed. 3ª Vol. 1

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Section: Introductionunclassified

Manejo Da Doença Meningocócica Na Emergência

Souza¹,

Brito²,

Santos³

et al. 2022

Teoria E Prática Trauma E Emergência - Ed. 3ª Vol. 1

View full text Add to dashboard Cite

“…Currently, little evidence exists about prehospital identification and management of cases with invasive meningococcal disease (IMD) and most of the current literature is centered around timing and administration of antibiotics [ 1 ]. The evidence for other prehospital interventions for IMD is scarce.…”

Section: Introductionmentioning

confidence: 99%

Nonspecific symptoms dominate at first contact to emergency healthcare services among cases with invasive meningococcal disease

et al. 2021

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Background An early appropriate response is the cornerstone of treatment for invasive meningococcal disease. Little evidence exists on how cases with invasive meningococcal disease present at first contact to emergency medical services. Methods Retrospective observational study of cases presenting with invasive meningococcal disease from January 1st of 2016 to December 31st of 2020 in the Capital Region of Denmark with a catchment area population of 1,800,000. A single medical emergency center provides services to the region. Data was collected from emergency medical services’ call audio files, data from the call receiver registrations, registrations from ambulance personal and electronic health record data from the hospitalization. Results Of 1527 cases suspected of meningitis, 38 had invasive meningococcal disease and had been in contact with the emergency service. Most contacts were to the medical helpline rather than the emergency call center at initial contact to emergency medical services. All were hospitalized within 12 h. At initial contact, fever was present in 28 (74%) of 38 cases, while specific symptoms such as headache (n=12 (32%)), a rash or petechiae (n=9 (23%)) and stiffness of the neck (n=4 (11%)) varied and were infrequent. Cases younger than 18 years of age were more often male and more often presented with fever and rash/petechiae. Only 4 (11%) received prehospital antibiotic treatment. Conclusions Cases with invasive meningococcal disease presented with fever and unspecific symptoms. Although few were acutely ill at their initial contact, all were admitted within 12 h. We suggest that all feverish cases should be systematically asked about specific symptoms and should be wary of symptom progression to optimize the early management if cases with invasive meningococcal disease.

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Pre-hospital symptoms associated with acute bacterial meningitis differs between children and adults

Hovmand,

Christensen,

Lundbo

et al. 2023

Sci Rep

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Community acquired bacterial meningitis (CABM) is a medical emergency requiring timely appropriate action. More knowledge about pre-hospital symptoms is needed. Retrospective observational study of pre-hospital management in patients with CABM between 2016 and 2021 admitted to a hospital in the Capital Region of Denmark. Reported symptoms were extracted from archived audio files of the initial phone call to emergency medical service. The majority of the 209 patients (82%) were adults. The most common symptoms were altered mental state (58%) and fever (57%), while neck stiffness was less common (9%). Children more often presented with fever, fatigue, rashes, and neck stiffness, while adults more often presented with altered mental state, and leg pain. Most patients (85%) reported at least 1 of the 3 symptoms in the classical triad of meningitis, while 3% reported all 3. Children more often presented at least 2 of 3 symptoms in the triad. One child (3%) and 7 adults (4%) received antibiotics pre-admission. Patients with CABM reported a variety of symptoms that differed significantly in children and adults. The classic triad was rare. Very few patients received antibiotics pre-admission. We suggest that questioning relevant symptoms should be done in febrile or mentally altered patients.

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Care of the patient with invasive meningococcal disease by prehospital emergency medical service clinicians: a scoping review

Cited by 5 publications

References 50 publications

Manejo Da Doença Meningocócica Na Emergência

Manejo Da Doença Meningocócica Na Emergência

Nonspecific symptoms dominate at first contact to emergency healthcare services among cases with invasive meningococcal disease

Pre-hospital symptoms associated with acute bacterial meningitis differs between children and adults

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