The prognostic factors selected by Niklasson et al can be used to identify patients with meningococcal infection who are at risk for death.
Patient population:
(1) The ages ranged from 6 months to 67 years of age.
(2) All patients were treated at the same hospital over a 9 year period.
(3) Patients included those with either septicemic or meningitis cases.
Unfavorable prognostic factors
Definition
absence of meningitis
< 100 WBC per µL in CSF
presence of low blood pressure
systolic blood pressure <= 100 mm Hg in adults and adolescents; <= 70 mm Hg in children <= 14 years of age
presence of petechieae < 12 hours prior to admission
presence of marked hyperpyrexia
rectal temperature >= 40°C
absence of marked leukocytosis
< 15,000 per µL
thrombocytopenia
< 100,000 per µL
Interpretation
Number of Prognostic Factors
Survival
0-1 factors
100%
3 or 4 of first four factors
27%
4 or 5 of first five factors
12%
To read more or access our algorithms and calculators, please log in or register.
Specialty: Infectious Diseases, Pulmonology, Neurology
ICD-10: ,
