I was curious about your routine practice of performing a CRP in addition to a CBC in these older children. My understanding is that the CRP is no better than a CBC in screening for occult SBI. Besides what threshold or cutoff values for serum CRP are you utilizing? What about the value of a CSF CRP? Any thoughts would be appreciated.
(from across the pond)
> From: sminte <[log in to unmask]>
> It's very easy for me to talk about a patient when I donīt have to treat him/her, but I'll tell you what we usually do whith this kind of patients in my Emergency Department.
> When we attend achild older than 2 years with a clear history of viral meningitis we pratice CBC, serum CRP, CSF exam and cultures of blood and CSF (including viral cultures of CSF). If the results are compatible with viral meningitis (as the results of the child you tell), we send him/her home with detailed instructions.