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By Karen L. Roos, Allan R. Tunkel

A quantity within the instruction manual of medical Neurology sequence on bacterial infections as they effect at the worried system.A quantity within the instruction manual of medical Neurology sequence, which has an unprecedented popularity because the world's so much entire resource of data in neurology.International record of individuals together with the prime employees within the field.Describes the advances that have happened in medical neurology and the neurosciences, their influence at the realizing of neurological issues and on sufferer care.

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1. Anatomical considerations during lumbar puncture. Lumbar puncture is performed with the patient in the lateral recumbent position. To avoid rotation of the vertebral column, align the patient’s shoulders and pelvis in a plane perpendicular to the bed. A line connecting the superior border of the posterior iliac crests intersects the L4 spinous process or the L4–L5 interspace. Insert the lumbar puncture needle in the midline of the L3–L4, L4–L5 (most commonly), or the L5–S1 interspace. These interspaces are below the end of the spinal cord, which terminates at the level of L1.

The postantibiotic effect in the treatment of experimental meningitis caused by Streptococcus pneumoniae in rabbits. J Infect Dis 149: 575–583. Ta¨uber MG, Kunz S, Zak O, et al. (1989). Influence of antibiotic dose, dosing interval, and duration of therapy on outcome in experimental pneumococcal meningitis in rabbits. Antimicrob Agents Chemother 33: 418–423. Tessier PR, Nightingale CH, Nicolau DP (2000). Postantibiotic effect of trovafloxacin against Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis in cerebrospinal fluid and broth culture media.

Lancet Infect Dis 5: 581–589. Kavaliotis J, Manios SG, Kansouzidou A, et al. (1989). Treatment of childhood bacterial meningitis with ceftriaxone once daily: open, prospective, randomized, comparative study of short-course versus standard-length therapy. Chemotherapy 35: 296–303. Lebel MH, Hoyt MJ, McCracken GH (1989). Comparative efficacy of ceftriaxone and cefuroxime for treatment of bacterial meningitis. J Pediatr 114: 1049–1054. Levison ME (2004). Pharmacodynamics of antimicrobial drugs. Infect Dis Clin North Am 18: 451–465; vii.

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