The Role of Fundoscopy Before Lumbar Puncture in Children with Suspected Meningitis

• In a multicenter cohort of 1,742 children, fundoscopy (performed by ophthalmology residents) detected papilledema in only 2.8% of cases and revealed no contraindications to LP. • Fundoscopy was associated with lower rates of early antibiotic administration.

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Publication Details

Journal
European Journal of Pediatrics
Published
2025-11-14
DOI
https://doi.org/10.1007/s00431-025-06603-w
Primary Topic
Sinusitis and nasal conditions
Type
article
Field-Weighted Citation Impact
0.00
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article

The Role of Fundoscopy Before Lumbar Puncture in Children with Suspected Meningitis

Jordanna H. Koppel, Gidon Test, Harold I. Feldman, Nili Yanai Milshtein et al.
European Journal of Pediatrics
Sinusitis and nasal conditions
article

The Role of Fundoscopy Before Lumbar Puncture in Children with Suspected Meningitis

Jordanna H. Koppel, Gidon Test, Harold I. Feldman, Nili Yanai Milshtein, Naama Kuchinski Cohen, Nitai Levy, Yulia Gimelraikh, Or Kaplan, Ron Jacob, Liat Yaniv, Gal Kimhi, Gal Altberg, Neta Cohen, Nir Friedman, Segev Gil-ad, Haitam Mreisat
article en

Abstract

• In a multicenter cohort of 1,742 children, fundoscopy (performed by ophthalmology residents) detected papilledema in only 2.8% of cases and revealed no contraindications to LP. • Fundoscopy was associated with lower rates of early antibiotic administration.

European Journal of PediatricsVol. 184(12)
Ben-Gurion University of the Negev (IL), Bar-Ilan University (IL), Tel Aviv University (IL), Technion – Israel Institute of Technology (IL), Emek Medical Center (IL), Tel Aviv Sourasky Medical Center (IL), Sheba Medical Center (IL), Hadassah Medical Center (IL), Assuta Medical Center (IL), Soroka Medical Center (IL), Laniado Hospital (IL), Rambam Health Care Campus (IL), Hillel Yaffe Medical Center (IL), Meir Medical Center (IL), Shaare Zedek Medical Center (IL), Mayanei Hayeshua Medical Center (IL), Schneider Children's Medical Center (IL), Bnai Zion Medical Center (IL), Rappaport Family Institute for Research in the Medical Sciences (IL), Poriya Medical Center (IL), Ariel University (IL)
Openalex Percentile: Top 54%
Sinusitis and nasal conditions
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