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[Possibilities for optimizing the pathogenetic therapy of purulent meningitis in children]
A A Vilnits1, N V Skripchenko1, E Yu Gorelik2
1Pediatric Research and Clinical Center for Infectious Diseases, St. Petersburg, Russia; Saint-Petersburg State Pediatric Medical University, St. Petersburg, Russia.
Insights
This study shows that combining Cytoflavin and Sulodexide effectively treats pediatric purulent meningitis. The treatment shortens symptoms and improves patient outcomes.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
- Pharmacology
Background:
- Purulent meningitis in children poses significant risks.
- Standard treatments may have limitations in fully mitigating complications.
Purpose of the Study:
- To evaluate the efficacy of combined Cytoflavin and Sulodexide therapy in pediatric purulent meningitis.
- To assess the impact on clinical course, symptom duration, and patient outcomes.
Main Methods:
- A study involving 50 children (aged 5-17) diagnosed with purulent meningitis.
- Treatment group received Cytoflavin and Sulodexide; comparison group received standard antibacterial therapy.
- Key indicators monitored included fever duration, neurological symptoms, cerebrospinal fluid (CSF) recovery, and hematological parameters (leukocytes, D-dimer).
Main Results:
- The combined therapy group demonstrated a reduced duration of cerebral and meningeal symptoms.
- Normalization of hematological parameters, including leukocytes, desquamated epithelial cells (DEC), and D-dimer, was observed.
- Improved outcomes were noted in the treatment group compared to standard care.
Conclusions:
- Combined Cytoflavin and Sulodexide therapy is beneficial for managing purulent meningitis in children.
- This combination therapy accelerates recovery and enhances overall patient outcomes.
- Further research may explore long-term effects and optimal dosing strategies.
Aim:
To assess an effect of the combined use of Cytoflavin and Sulodexide on the course and outcomes of purulent meningitis in children.
Material And Methods:
Fifty children with purulent meningitis, aged from 5 to 17 years 11 month, were studied. Thirty patients of the treatment group (n=30; mean age 6,8 ± 2,2 years) received Cytoflavin (0,6 mcg/kg once a day) during 5 days with the following treatment with Sulodexide (250 LSU/day in children 5-12 years, 500 LSU/day in children above 12 years). Patients of the comparison group (n=20), aged 5,9±1,8 years, received standard antibacterial treatment. Duration and persistent of fever, cerebral, meningeal symptoms, the recovery period of CSF, the normalization of the number of desquamated epithelial cells (DEC), D-dimer were estimated. Outcomes of purulent meningitis were assessed using a working scale representing a modification of Rankin's, Fisher's, and Glasgow scales.
Results And Conclusion:
The combination of drugs reduces the duration of cerebral and meningeal symptoms, leads to the normalization of hematological parameters (the level of leukocytes, desquamous epithelial cells, D-dimer) and improves outcomes.
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