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Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
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Updated: May 29, 2026

A Controlled Mouse Model for Neonatal Polymicrobial Sepsis
14:54

A Controlled Mouse Model for Neonatal Polymicrobial Sepsis

Published on: January 27, 2019

[Sepsis in children].

Bjorn Gunnarsson1, Theodor Skuli Sigurdsson2, Bergthor Steinn Jonsson3

  • 1Department of Health Care Quality and Patient Safety, Akureyri Hospital, Institute of Health Science Research, University of Akureyri, Akureyri, Iceland.

Laeknabladid
|May 27, 2026
PubMed
Summary

Sepsis, a critical condition causing organ dysfunction due to infection, affects millions globally, especially children. Early recognition and prompt treatment are vital for improving outcomes and reducing mortality in pediatric sepsis cases.

Keywords:
Antimicrobial TherapyDysfunctionEarly Recognition and ManagementHemodynamicSeptic ShockVasoactive Medicationspediatric sepsis

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Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection.
  • It affects 50 million people annually, with children representing nearly half of cases and a leading cause of mortality.
  • Despite medical advances, sepsis diagnosis in children is challenging due to nonspecific symptoms, and survivors often face long-term health issues.

Purpose of the Study:

  • To raise awareness of recent developments in pediatric sepsis.
  • To discuss key aspects of diagnosis and management for childhood sepsis.
  • To support clinicians in the rapid and safe recognition and management of sepsis in children.

Main Methods:

  • Review of current literature and clinical guidelines on pediatric sepsis.
  • Emphasis on systematic screening using clinical assessment tools and biomarkers for early diagnosis.
  • Discussion of prompt antimicrobial therapy, fluid resuscitation, and supportive care, including adrenaline infusion when necessary.

Main Results:

  • Early and accurate diagnosis of sepsis is facilitated by systematic screening and biomarker measurement.
  • Prompt initiation of appropriate treatment, including antibiotics and fluid resuscitation, significantly improves prognosis.
  • Timely administration of adrenaline is crucial in severe cases.

Conclusions:

  • A high index of suspicion, systematic risk assessment, and recognition of clinical/biochemical signs are essential for healthcare professionals.
  • Rapid administration of antimicrobial therapy, preceded by blood cultures if possible without delay, is critical.
  • Judicious fluid management and frequent reassessment are key components of effective sepsis care in children.