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Rapid screening for bacterial meningitis
Meningitis has a wide variety of potential causes, either infectious
or noninfectious. If bacterial meningitis is not treated promptly and
effectively, the disease is likely to be fatal. Many bacterial species
have been implicated in meningitis. Streptococcus group B and
Escherichia coli K1 are two of the most common causes of neonatal
sepsis. In older age groups the most common isolates are Haemophilus
influenzae, Streptococcus pneumoniae, and Neisseria meningitidis
groups A, B, C, Y and W135.
Negative
A positive or negative result is not diagnostic for the presence or
absence of disease. This assay should not be substituted for
microbiological culture.
A positive result indicates the presence of Neisseria meningitidis
antigen, but the result does not necessarily indicate the presence
of viable organisms.
False-negative test results may occur with specimens containing
levels of antigen below the limits of detection of this assay. Negative
results should be followed up with culture.
This test does not replace the need for spinal fluid culture. Meningitis
may be caused by other bacterial, fungal, and viral agents not covered
by this test.
False-positive and false-negative results may occur.
Williams AJ, Nadel S; Bacterial meningitis: current controversies in
approaches to treatment. CNS Drugs 2001; 15:909-19.
Ichhpujani RL, Bhatia R; Immunodiagnosis of bacterial meningitis.
J Commun Dis 1984; 16:30-7.