Cochrane Database Syst Rev September 2015 PMID 26362566

Corticosteroids for acute bacterial meningitis.

Matthijs C Brouwer, Peter McIntyre, Kameshwar Prasad, Diederik van de Beek

Mentions

36
Peak: 8 in Sep 2015
across 4 sources since Sep 2015

Extended reach

44,594
potential audience

Total likes

27

Video views

461

Mentions per month

Sep 2015 – Sep 2025

Where it's discussed

  • News23 articles
  • X / Twitter10 posts
  • YouTube2 videos
  • Facebook1 posts

AI synopsis

What people are saying

The discussions reveal a solid interest in the therapeutic role of corticosteroids, especially dexamethasone's timing and effectiveness in bacterial meningitis cases. Phrases like ‘helpful for S. Pneumo Meningitis’ and mentions of ‘decrease in hearing loss’ demonstrate the perceived practical importance of the findings, while the tone reflects both support and calls for further debate, indicating ongoing engagement with the topic.

AgreementModerate agreement

Most discussions support the findings, emphasizing the importance of corticosteroids, especially dexamethasone, in reducing hearing loss and neurological complications; some acknowledge the nuanced effects based on timing and pathogen.

InterestHigh interest

Participants show high interest by referencing specific uses of corticosteroids, like dexamethasone before antibiotics in children or pneumococcus-related hearing loss, highlighting active engagement with treatment implications.

EngagementModerate engagement

Posts include references to clinical practices, debates, and evidence, reflecting moderate depth with some discussions on methodology, application, and timing.

ImpactModerate impact

The conversations indicate recognition of corticosteroids’ clinical significance, especially in certain bacteria like pneumococcus, suggesting that the publication influences treatment approaches and ongoing debates.

Abstract in brief

  • The review analyzed 25 randomized controlled trials involving over 4,000 participants to assess whether corticosteroids help reduce mortality, hearing loss, and neurological complications in people with acute bacterial meningitis.
  • The findings suggest that corticosteroids may slightly decrease mortality and significantly reduce the risk of hearing loss and neurological issues, especially in cases caused by Streptococcus pneumoniae, although some results were not statistically significant.
  • The effectiveness of corticosteroids varies based on factors like patient age, the causative organism, country income level, and timing of treatment, with higher-quality studies and early administration showing more benefit.]

Top posts

Most liked on X and Bluesky
Pawin Numthavaj
@pawinpawin · X

ปกติถ้าแค่เยื่อหุ้มสมองอักเสบจากแบคทีเรียอย่าง Pneumococcus จะมี hearing loss ราว 30% (https://t.co/OX80mxBRs5) ก็ถือว่าถ้ามีการวินิจฉัยได้อย่างรวดเร็ว ก็น่าจะดี การป้องกันหลักๆ น่าจะเป็น Steroid เพราะมีผลจากการติดเชื้อแบคทีเรียอื่นว่าลดหูหนวกได้ (https://t.co/IXeBqZf7vy)

Dec 11, 2022 · 3 likes · 1 share · 28,829 followers View post →
Meningitis Research Foundation
@M_R_F · X

Time for another debate!

Nov 6, 2019 · 3 likes · 11,522 followers View post →
Leonardo Perales
@LeoPerales · X

Referencias: -https://t.co/3QgG1PFsBi -Greenhalgh, T., & Taylor, R. (2002). How to read a paper. London: BMJ Publishing Group. -https://t.co/RkuZ8UUynu https://t.co/UseQHJT5UU

Aug 22, 2020 · 3 likes · 948 followers View post →
Gil Kruppa
@gkruppa · X

Os estudos pra previnir laringite pós-extubação vieram após a evidência de melhora do estridor em crianças com cupre que usaram dexametasona e corticoides (de maneira geral) diminuíram a ocorrência de surdez na meningite (doi: 10.1002/14651858.CD004405.pub5)... //10

Dec 22, 2020 · 2 likes · 567 followers View post →
PHSTeaching
@PMCHPHS · X

Good discussion at sign out regarding the use of Dexamethasone in a child with suspected bacterial meningitis. Dexamethasone therapy for bacterial meningitis: Better never than late? https://t.co/40U7ZUzGLU Corticosteroids for acute bacterial meningitis https://t.co/idkDOfRwKO

Mar 9, 2020 · 2 likes · 1 share · 66 followers View post →
Nhi Nguyen
@nhi_nguyen97 · X

In children with bacterial meningitis, dexamethasone may be associated with decrease in hearing loss with Haemophilus influenzae meningitis. #OTILT @BWDionne @jeffpears0n @davidwkubiak https://t.co/bP7J9ngRc7

Aug 26, 2021 · 2 likes · 6 followers View post →

All mentions

Kim Eunho
@PeraVich · X

RT @pawinpawin: ปกติถ้าแค่เยื่อหุ้มสมองอักเสบจากแบคทีเรียอย่าง Pneumococcus จะมี hearing loss ราว 30% (https://t.co/OX80mxBRs5) ก็ถือว่าถ้า…

Dec 11, 2022 · 1 share · 51 followers View post →
Pawin Numthavaj
@pawinpawin · X

ปกติถ้าแค่เยื่อหุ้มสมองอักเสบจากแบคทีเรียอย่าง Pneumococcus จะมี hearing loss ราว 30% (https://t.co/OX80mxBRs5) ก็ถือว่าถ้ามีการวินิจฉัยได้อย่างรวดเร็ว ก็น่าจะดี การป้องกันหลักๆ น่าจะเป็น Steroid เพราะมีผลจากการติดเชื้อแบคทีเรียอื่นว่าลดหูหนวกได้ (https://t.co/IXeBqZf7vy)

Dec 11, 2022 · 3 likes · 1 share · 28,829 followers View post →
Nhi Nguyen
@nhi_nguyen97 · X

In children with bacterial meningitis, dexamethasone may be associated with decrease in hearing loss with Haemophilus influenzae meningitis. #OTILT @BWDionne @jeffpears0n @davidwkubiak https://t.co/bP7J9ngRc7

Aug 26, 2021 · 2 likes · 6 followers View post →
Gil Kruppa
@gkruppa · X

Os estudos pra previnir laringite pós-extubação vieram após a evidência de melhora do estridor em crianças com cupre que usaram dexametasona e corticoides (de maneira geral) diminuíram a ocorrência de surdez na meningite (doi: 10.1002/14651858.CD004405.pub5)... //10

Dec 22, 2020 · 2 likes · 567 followers View post →
Leonardo Perales
@LeoPerales · X

Referencias: -https://t.co/3QgG1PFsBi -Greenhalgh, T., & Taylor, R. (2002). How to read a paper. London: BMJ Publishing Group. -https://t.co/RkuZ8UUynu https://t.co/UseQHJT5UU

Aug 22, 2020 · 3 likes · 948 followers View post →
J. Scott Wieters MD
@EMedCoach · X

RT @BSWHTemple_EM: Conference Continued -- Don't forget Dexamethasone prior to antibiotics which is helpful for S. Pneumo Meningitis. #Med…

Jun 11, 2020 · 1 share · 1,563 followers View post →
BSWHTemple | Emergency Medicine
@BSWHTemple_EM · X

Conference Continued -- Don't forget Dexamethasone prior to antibiotics which is helpful for S. Pneumo Meningitis. #MedEd #EMbound #medstudent https://t.co/ZMMKgAo2V7

Jun 11, 2020 · 1 share · 279 followers View post →
Dr. C.Hill
@clhill88 · X

RT @PMCHPHS: Good discussion at sign out regarding the use of Dexamethasone in a child with suspected bacterial meningitis. Dexamethasone…

Mar 9, 2020 · 1 share · 51 followers View post →
PHSTeaching
@PMCHPHS · X

Good discussion at sign out regarding the use of Dexamethasone in a child with suspected bacterial meningitis. Dexamethasone therapy for bacterial meningitis: Better never than late? https://t.co/40U7ZUzGLU Corticosteroids for acute bacterial meningitis https://t.co/idkDOfRwKO

Mar 9, 2020 · 2 likes · 1 share · 66 followers View post →
Meningitis Research Foundation
@M_R_F · X

Time for another debate!

Nov 6, 2019 · 3 likes · 11,522 followers View post →
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