In order to reduce the chance of mortality or permanent neurologic sequelae, neonates and infants with suspected meningitis must be recognized and treated in a timely manner, including recognition of complications such as ventriculitis, hydrocephalus, stroke and intracranial abscess. Anecdotally, there is wide variation in the management of Canadian neonates and infants diagnosed with bacterial meningitis regarding the timing, modality, and indications for neuroimaging. Magnetic Resonance Imaging (MRI) imaging has become widely available in tertiary centres, but not in smaller hospitals.
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