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Description

The prognostic score of Tuysuz et al can be used to determine the mortality risk in children with pediatric meningococcal disease.


 

Patient population:

(1) children from 20 days to 14 years admitted to a University Hospital in Istanbul, Turkey

(2) patients had meningococcal septicemia and/or meningitis

Unfavorable Prognostic Factor

Score

hypotension

3

diffuse petechiae < 12 hours

2

WBC count < 10,000 per µL

2

disturbed consciousness

1

absence of meningitis

1

 

where:

• hypotension = systolic blood pressure < 5th percentile for age

• disturbed consciousness = sensorial variability between somnolence and coma

• meningitis = presence of clinical signs and > 100 leukocytes per µL in CSF, or positive CSF culture and smear

 

prognostic score =

= SUM (values for unfavorable prognostic factors present)

 

Interpretation:

• minimum score: 0

• maximum score: 9

 

Score

Mortality Rate

0-5

1.7%

6

11.1%

7

42.8%

8

100%

9

100%

 


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