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Ep 196 Pediatric Meningitis Recognition, Workup and Management
Emergency Medicine Cases
Detailed Canadian Pediatric Society Guidelines
The Canadian Pediatric Society recommends specific tests for patients under 60 days, categorizing them into two groups: under 28 days and between 29 and 60 days. Patients not meeting low-risk criteria in both groups should undergo LP admission with consideration for IV antibiotics. For low-risk babies under 28 days, admission is recommended with shared decision-making for LP. For babies between 29 and 60 days, clinical decision-making is essential, particularly if the urinalysis is positive. However, there is considerable variability in the implementation of these guidelines among centers and practitioners.
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