Clinical audit on management of suspected meningoencephalitis patients at lady reading Hospital, Peshawar

https://doi.org/10.53730/ijhs.v8nS1.14876

Authors

  • Sohail Ahmad Resident Internal Medicine, Medical "C" Ward, Lady Reading Hospital, Peshawar, Pakistan
  • Anisa Khan Resident Internal Medicine, Medical "C" Ward, Lady Reading Hospital, Peshawar, Pakistan
  • Usman Neurology Department, Lady Reading Hospital, Peshawar, Pakistan
  • Haroon Ur Rashid Neurology Department, Lady Reading Hospital, Peshawar, Pakistan
  • Amjad Ali House officer Medicine/Neurology Rehman Medical Institute Peshawar, Pakistan
  • Nawab Ali Anesthesia Department, Lady Reading Hospital, Peshawar, Pakistan
  • Atta Ullah Shah Demonstrator, Department of Physiology Gajju Khan Medical College Swabi, Pakistan
  • Haji Akhtar Anesthesia Department, Lady Reading Hospital, Peshawar, Pakistan
  • Naqeeb Ullah Resident Internal Medicine, Lady Reading Hospital, Peshawar, Pakistan
  • Sundas Safdar Resident Radiologist, Radiology, Lady Reading Hospital, Peshawar, Pakistan
  • Hanifullah Hanfi Medical Student, Khyber Medical University, Peshawar, Pakistan

Keywords:

Meningitis, Encephalitis, Csf-Re, Antibiotics

Abstract

Objective: The purpose of this study was to observe management and empiric treatment of meningitis/encephalitis without doing initial investigation CSF-RE or delaying it, at Department of Emergency Medicine, General Medicine and Neurology wards. Method: It is an observational retrospective study this study was carried out at the General medicine, Neurology and Emergency units from July 2023 to Dec 2023.Total of 54 patients were included. Before conduction of study Ethical Review Committee permission was sought to access patient Data. We studied their hospital stored data on HMIS such as admission Date, start of empiric antibiotics, CT Scans, Blood Culture and CSF-REs. Results: 98% of patients were started on empiric Antibiotics without doing CSF-RE/LP on initial presentation at the hospital. In 64% patients CSF-RE was delayed and subsequently performed. In 34% CSF-RE was never carried out. Conclusion: We did presentations, Information campaigns, to follow standard Guidelines for Suspected meningitis /encephalitis to limit potential side effects, Development of Resistance to Antibiotics and to limit treatment costs.

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References

Gorelick, P. B., & Biller, J. (1986). Lumbar puncture: technique, indications, and complications. Postgraduate medicine, 79(8), 257-268.

White, L. (1986). The diagnostic spinal tap. Annals Of Internal Medicine, 104(6), 880-885.

Marton, K. I., Gean, A.D. (1986). The spinal tap: a new look at an old test. Ann Intern Med; 104:840.

Sternbach G. (1985). Lumbar puncture. J Emerg Med; 2:199.

Williams, J., Lye, D.C., Umapathi T. (2008). Diagnostic lumbar puncture: minimizing complications. Intern Med J; 38:587

Published

30-04-2024

How to Cite

Ahmad, S., Khan, A., Usman, U., Ur Rashid, H., Ali, A., Ali, N., Shah, A. U., Akhtar, H., Ullah, N., Safdar, S., & Hanfi, H. (2024). Clinical audit on management of suspected meningoencephalitis patients at lady reading Hospital, Peshawar. International Journal of Health Sciences, 8(S1), 663–668. https://doi.org/10.53730/ijhs.v8nS1.14876

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Peer Review Articles

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