Glycerol and acetaminophen as adjuvant therapy did not affect the outcome of bacterial meningitis in Malawian children

Molyneux, Elizabeth, Kawaza, Kondwani, Phiri, Ajib, Chimalizeni, Yamikani, Mankhambo, Limangeni, Schwalbe, Ed, Kataja, Matti, Pensulo, Paul, Chilton, Lucy and Peltola, Heikki (2014) Glycerol and acetaminophen as adjuvant therapy did not affect the outcome of bacterial meningitis in Malawian children. Paediatric Infectious Diseases Journal, 33 (2). pp. 214-216. ISSN 0891-3668

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We investigated the benefit of 2 candidate adjunctive therapies in bacterial meningitis: glycerol, which has shown promise in earlier studies, and acetaminophen, which is reportedly beneficial in adult septicemia. In a hospital in Blantyre, Malawi, we enrolled 360 children aged ≥ 2 months with proven bacterial meningitis (36% HIV infected) in a double-blind, randomized, placebo-controlled trial of glycerol and acetaminophen in a 2 × 2 factorial design. Of 4 groups, first group received oral glycerol, second received rectal acetaminophen, third received both therapies and the fourth received placebos only. Adjuvant therapies were given for the first 48 hours of antibiotic therapy. Endpoints were mortality and neurological sequelae. Baseline findings were similar across all groups, except that many children had prior antibiotics in the acetaminophen group and many were anemic in the acetaminophen and glycerol group. Outcomes were similar for all groups. We found no benefit from oral glycerol or rectal acetaminophen in, mostly pneumococcal, meningitis in Malawian children.

Item Type: Article
Uncontrolled Keywords: adjuvant glycerol in meningitis
Subjects: A300 Clinical Medicine
A900 Others in Medicine and Dentistry
B900 Others in Subjects allied to Medicine
C500 Microbiology
Department: Faculties > Health and Life Sciences > Applied Sciences
Depositing User: Ed Schwalbe
Date Deposited: 25 Feb 2014 15:14
Last Modified: 24 Oct 2017 11:24

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