Basic structure of hair and hair growth cycle.pptx
Diagnosis of postoperative meningitis using CSF lactate
1. Postoperative Meningitis Diagnosing using CSF Lactate Shashwat Mishra , Deepak Agrawal, BS Sharma Dept of Neurosurgery, All India Institute of Medical Sciences New Delhi-110029
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21. Mean CSF: Blood glucose ratio RESULTS .06 .61 .48 Day 5/7 .002 .62 .38 Day 3 .001 .68 .32 Day 1 Mean CSF:Blood Glucose 2 tailed significance CONTROL CASE DAY OF SAMPLING
22. RESULTS Mean CSF lactate .211 3.571 4.436 Day 5/7 .000 3.157 5.076 Day 3 .001 3.257 5.56 Day 1 Mean CSF Lactate values 2 tailed significance CONTROL CASE DAY OF SAMPLING
23. RESULTS Mean CSF lactate trends correlated with culture positivity
24. RESULTS Mean CSF lactate trends correlated with subsidence of fever .005 3.5 5.7 Day 5/7 .42 5.1 4.9 Day 3 .997 5.6 5.6 Day 1 Mean CSF Lactate values 2 tailed significance Responded Didn’t respond DAY OF SAMPLING
25. RESULTS Combination of CSF lactate>5.0 and Sugar ratio < 0.4 Senstivity = 100% , specificity = 60% CULTURE - 25 15 10 Total 9 9 0 Combination - 16 6 10 Combination + TOTAL CULTURE +