BEST EVIDENCE TOPIC REPORTS
BET 2. DEXAMETHASONE IN MENINGITIS
Whiston Hospital, Liverpool, UK
| The first 150 words of the full text of this article appear below. |
Report by Shweta Gidwani, SHO Critical Care
Search checked by Elspeth Worthington, Consultant in Emergency Medicine
Institution: Whiston Hospital, Liverpool, UK
A short cut review was carried out to establish whether there is any evidence for the use of dexamethasone in bacterial meningitis. A total of 801 papers were found using the reported searches, of which one systematic review presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this best paper are tabulated. It is concluded that there is good evidence for the use of dexamethasone in this condition.
In [adults presenting with signs and symptoms suggestive of acute meningitis] is [early medication with dexamethasone] useful at [improving outcome]?
A 38-year-old previously fit and well insulin-dependent diabetic presents to the emergency department with a fever, vomiting and reduced Glasgow
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