Bacterial purulent meningitis: problems of diagnosis and treatment in the prehospital setting


DOI: https://dx.doi.org/10.18565/therapy.2021.4.81-89

Nagibina M.V., Vengerov Yu.Ya., Plavunov N.F., Kadyshev V.A., Sidorov A.M., Smirnova T.Y., Kovalenko T.M.

1) A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia; 2) Infectious Clinical Hospital No. 2 of the Moscow Healthcare Department; 3) First Aid Station named after A.S. Puchkov, Moscow
Abstract. An important role for the course and outcome of bacterial purulent meningitis (BPM) is the timely diagnosis and early hospitalization of patients in a specialized hospital. The problem of early clinical diagnosis of BPM at the prehospital stage is primarily due to the similarity of clinical symptoms with a number of other acute CNS lesions and can lead to diagnostic errors, delayed profile hospitalization and an increase in the number of patients with severe course. The use of algorithms for the diagnosis of BPM at the primary stage allowed to improve the quality of prehospital care for patients. The number of patients with BGM delivered by SMP teams to non-infectious hospitals in 2019 decreased by 55,4% compared to 2017, in the group of children by 88%, which had a positive effect on reducing the number of complications, deaths, and adverse consequences of BPM.
Keywords: bacterial purulent meningitis, emergency medical services, prehospital care, algorithm of diagnosis and treatment
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About the Autors

Margarita V. Nagibina, MD, professor of the Department of infectious diseases and epidemiology, A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia. Address: 105275, Moscow, 15/4 8th Sokolinoy gory Str. Tel.: +7 (910) 475-76-53. E-mail: infektor03@gmail.com. ORCID: 0000-0001-5327-9824
Yuri Ya. Vengerov, MD, professor of the Department of infectious diseases and epidemiology, A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia. Address: 105275, Moscow, 815/4 8th –Sokolinoy gory Str. Tel.: +7 (905) 586-66-89. E-mail: infektor03@gmail.com. ORCID: 0000-0001-8939-1690
Nikolay F. Plavunov, MD, professor, head of the Department of emergency medicine of the Faculty of general medicine, A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia, Chief freelance specialist of the Ministry of Healthcare of Russia for emergency medical care in the Central Federal District, Chief freelance specialist for emergency medical care of the Moscow Healthcare Department, Chief physician of First Aid Station named after A.S. Puchkov of the Moscow Healthcare Department. Address: 109263, Moscow, 4 Shkuleva Str. Tel.: +7 (495) 620-40-60. E-mail: info@ssnmp.mosgorzdrav.ru. ORCID: 0000-0002-1296-1760
Valery A. Kadyshev, PhD, associate professor of the Department of emergency medicine of the Faculty of general medicine, A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia, head of the organizational and methodological Department of emergency medical care, First Aid Station named after A.S. Puchkov of the Moscow Healthcare Department. Address: 109263, Moscow, 4 Shkuleva Str. Tel.: +7 (909) 933-78-66. E-mail: damask51@rambler.ru. ORCID: 0000-0002-1414-5337
Andrey M. Sidorov, PhD, associate professor of the Department of emergency medicine of the Faculty of general medicine, A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia, senior physician of the Department of quality control and safety of medical activities, First Aid Station named after A.S. Puchkov of the Moscow Healthcare Department. Address: 109263, Moscow, 4 Shkuleva Str. Tel.: +7 (495) 620-40-31. E-mail: sidorov_03@mail.ru. ORCID: 0000-0003-2321-4039
Tatiana Yu. Smirnova, head of the 3rd infectious diseases Department, Infectious Clinical Hospital No. 2 of the Moscow Healthcare Department. Address: 105275, Moscow, 15 8th Sokolinoy gory Str. Tel.: +7 (916) 643-75-27
Tatiana M. Kovalenko, head of express laboratory, Infectious Clinical Hospital No. 2 of the Moscow Healthcare Department. Address: 105275, Moscow, 15 8th Sokolinoy gory Str. Tel.: +7 (903) 787-90-07

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