• Arq Neuropsiquiatr · Sep 2006

    CSF markers for diagnosis of bacterial meningitis in neurosurgical postoperative patients.

    • Wagner Malagó Tavares, Andre Guelman Machado, Hamilton Matushita, and Jose Pindaro P Plese.
    • Division of Neurosurgery, University of São Paulo, São Paulo, SP, Brazil. wagnermt@hotmail.com
    • Arq Neuropsiquiatr. 2006 Sep 1;64(3A):592-5.

    ObjectiveTo evaluate the diagnostic usefulness of cerebral spinal fluid (CSF) cellularity, protein, neutrophils, glucose and lactate for detection of postoperative bacterial meningitis.MethodThis prospective study was conducted in 28 postoperative neurosurgical patients from 2002 to 2005 at University of São Paulo. The CSF markers were plotted in a receiver operating characteristic (ROC) curve to evaluate their accuracy.ResultsBased on the area under ROC curve CSF glucose, cellularity, and lactate were considered good tests. Polymorphonuclear and protein did not achieve enough accuracy to be used clinically.ConclusionThe CSF glucose, lactate, and cellularity can be used for the diagnosis of bacterial meningitis. Moreover, it can be helpful to differentiate bacterial from aseptic meningitis.

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