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Titolo:
Hydration and bacterial meningitis.
Autore:
Floret, D;
Indirizzi:
Univ Lyon 1, F-69437 Lyon 03, France Univ Lyon 1 Lyon France 03Univ Lyon 1, F-69437 Lyon 03, France Hop Edouard Herriot, Serv Urgence & Reanimat Pediat, F-69437 Lyon, France Hop Edouard Herriot Lyon France F-69437 mat Pediat, F-69437 Lyon, France
Titolo Testata:
ARCHIVES DE PEDIATRIE
fascicolo: 2, volume: 6, anno: 1999,
pagine: 199 - 202
SICI:
0929-693X(199902)6:2<199:HABM>2.0.ZU;2-M
Fonte:
ISI
Lingua:
FRE
Soggetto:
INAPPROPRIATE SECRETION; ANTIDIURETIC-HORMONE; ARGININE VASOPRESSIN; CHILDREN; THERAPY; INFANTS;
Keywords:
meningitis bacterial; inappropriate ADH syndrome; water movements; water intoxication;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Floret, D Univ Lyon 1, Pl Arsonval, F-69437 Lyon 03, France Univ Lyon 1 PlArsonval Lyon France 03 F-69437 Lyon 03, France
Citazione:
D. Floret, "Hydration and bacterial meningitis.", ARCH PED, 6(2), 1999, pp. 199-202

Abstract

For almost 20 years, fluid restriction has been applied in the management of bacterial meningitis. This recommendation was based upon the findings ofelevated plasma levels of arginine vasopressin in children with bacterial meningitis and their interpretation as evidence for inappropriate secretionof antidiuretic hormone. Recent data indicate that this interpretation waserroneous and that elevated levels of arginine vasopressine is the consequence of hypovolemia in the majority of cases of bacterial meningitis. In addition, fluid restriction appears to worsen the prognosis. As a consequence, not only fluid restriction must not be systematically applied in the management of bacterial meningitis, but appropriate fluid and sodium intakes are necessary to compensate hypovolemia and dehydration. Only a small number of cases with evidence of inappropriate secretion of antiduiretic hormone will require fluid restriction. (C) 1999 Elsevier, Paris.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 16:46:42