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[Correspondence] Acute bacterial meningitis in adults

We read with interest the Seminar by Fiona McGill and colleagues (Dec 17, p 3036)1 about acute bacterial meningitis. Because prompt antibiotic treatment is crucial, identification of the causative pathogen is of great importance. As stated by McGill and colleagues, use of culture-independent methods might be useful, particularly when cerebrospinal fluid (CSF) examination is done after the initiation of antibiotherapy. However, PCR techniques might not be widely available. Immunochromatographic tests (ICTs) to detect pneumococcal soluble antigen are simple and widely available.

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