Aspect LCR la punctie lombara
| LCR | Normal | Bacterii | Virusuri | TBC | Fungi |
| pressure cmH2O | 6 – 20 | 20 – 50 | 6 – 30 | 20 – 40 | 20 -100 |
| Culoare | Clar | Tulbure | Tulbure/ Galben | Clar/ Tulbure | |
| Celule | < 5/mm3 | >1000/mm3 | 10-1000/mm3 | Nomal/ 1000/mm3 | |
| Dif | Limfocite | Neutrofile | Limfocite | Limfocite | Limfocite |
| LCR/glicemie | 50-60% | Scazut < 40% | Normal | F scazut < 30% | Normal / Scazut |
| Proteine | < 0.45 g/dl | > 1 g/l | 0.5 – 1 g/l | 1 – 5 g/l | 0.5 – 1 g/l |
| Proteine | Normal | Cult Gram | PCR CMV HSV VZV | PCR Cultura Ac test | India Ink Ag Criptococ |
Bacterii
- E colli
- Haemophilus
- Listeria
- Neisseria
- Str agalatiae
- Str Pneumonie
Virusuri
- CMV
- Enterovirus
- HSV1, 2 HHV6
- VZV
- Fungi
- Crioptococus
Tratament in caz de suspiciune meningoencefalita:
- Ceftriaxona 2gx2 sau Cefotaxime 2g/4h
- Vancomicina
- Ampicilina 2g/4h
- Steroizi – dexametazona 10mg/6h
- Aciclovir 10mg/kgc
| Medicamente cu penetranta buna in LCR | Medicamente cu penetranta moderata in LCR | Medicamente cu penetranta scazuta in LCR | Medicamente fara penetranta in LCR |
| Molecule lipofile de dimensiuni mici | Molecule hidro -lipofilice medii | Molecule hidrofile, de dimensiuni mari | Molecule hidrofile, de dimensiuni mari |
| Eficacitate in SNC la doze uzuale IV sau OR | Eficacitatea in SNC creste cu cresterea dozei IV daca este tolerata | Eventual in administrare intraventriculara | NU se pot administra intraventricular (nu sunt date) |
| Florquinolone | b-lactami | Daptomicina | Echinocandine |
| Fluconazol | Aciclovir | Coliimicina | Macrolide |
| Voriconazol | Ganciclovir | Tigeciclina | |
| Rifampicina | Vancomicina | Aminoglicozide | |
| Oxazolidinone (Linezolid) | Doxiciclina | ||
| Metronidazol |
ICUIdea 
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