Abstract

MUNOZ CASTELLON, Susan R. et al. Validity of Score Boyer, to differential diagnosis between bacterial and non-bacterial meningitis; in children of the Hospital Manuel Ascencio Villarroel. Cochabamba, Bolivia.. Gac Med Bol [online]. 2015, vol.38, n.2, pp.37-41. ISSN 1012-2966.

Abstract Introduction: meningitis is a clinical syndrome that carries risks in morbidity and mortality especially in pediatric patients, the variability of the dependent clinical manifestations of age, has allowed the use of scores that allow objectify decisions on etiological possibilities and therapeutic criteria, as in the case of "Boyer Score". Objective: to determine the validity of Score Boyer and utility in the differential diagnosis of bacterial and non-bacterial meningitis. Methods: this study is analytical, longitudinal, prospective, conducted in the period from March 2014 to January 2015 in the Children's Hospital Manuel Ascencio Villarroel. The study group was made up of 32 patients between the ages of 1 month to 15 years who were diagnosed with meningitis by clinical, laboratory, and cytochemical CSF. Results: we found that 25% of the population presented the diagnosis of bacterial meningitis confirmed positive CSF culture. Boyer's score in this study showed a specificity of 92% and a sensitivity of 100 %for the differential diagnosis of bacterial meningitis. Conclusión: the Score Boyer is a useful, fast, easy for the differential diagnosis of the etiology of meningitis, whose association with other biological markers increases the sensitivity and specificity tool.

Keywords : Score de Bover; Bacterial meninaitis; viral meninaitis; diaanostic.

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