<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1679-4974</journal-id>
<journal-title><![CDATA[Epidemiologia e Serviços de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Epidemiol. Serv. Saúde]]></abbrev-journal-title>
<issn>1679-4974</issn>
<publisher>
<publisher-name><![CDATA[Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1679-49742018000300022</article-id>
<article-id pub-id-type="doi">10.5123/s1679-49742018000300007</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Proposta de abordagem simplificada para suspeitas de meningites: relato de experiência de serviço de referência no estado do Piauí, 2007-2016]]></article-title>
<article-title xml:lang="es"><![CDATA[Propuesta para el enfoque inicial simplificado de las sospechas de meningitis: relato de experiencia de servicio de referencia en el estado de Piauí, Brasil, 2007-2016]]></article-title>
<article-title xml:lang="en"><![CDATA[Proposal for a simplified approach to suspected meningitis case diagnosis: experience report of a reference service in the state of Piauí, Brazil, 2007-2016]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vieira]]></surname>
<given-names><![CDATA[Marcelo Adriano da Cunha e Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima Neto]]></surname>
<given-names><![CDATA[Adelino Soares]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Carlos Henrique Nery]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Dorcas Lamounier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amaral]]></surname>
<given-names><![CDATA[Elna Joelane Lopes da Silva do]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Batista]]></surname>
<given-names><![CDATA[Francisca Miriane de Araújo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nascimento]]></surname>
<given-names><![CDATA[Gildevane Vieira do]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[Joana Carolina Viana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[Juana Victória Brandão de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Eulálio]]></surname>
<given-names><![CDATA[Kelsen Dantas]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campelo]]></surname>
<given-names><![CDATA[Lidianny Lauritzen Dias]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[Maria das Dores Rocha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Mariana Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almeida Neto]]></surname>
<given-names><![CDATA[Walfrido Salmito de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaria de Estado da Saúde do Piauí Instituto de Doenças Tropicais Natan Portella ]]></institution>
<addr-line><![CDATA[Teresina PI]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Secretaria de Estado da Saúde do Piauí Laboratório Central de Saúde Pública Dr. Costa Alvarenga ]]></institution>
<addr-line><![CDATA[Teresina PI]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Ministério da Educação Universidade Federal do Piauí Departamento de Medicina Especializada]]></institution>
<addr-line><![CDATA[Teresina PI]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade Federal do Piauí Departamento Materno-Infantil ]]></institution>
<addr-line><![CDATA[Teresina PI]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Secretaria de Estado da Saúde do Piauí Instituto de Doenças Tropicais Natan Portella ]]></institution>
<addr-line><![CDATA[Teresina PI]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Secretaria de Estado da Saúde do Piauí Gerência de Vigilância em Saúde ]]></institution>
<addr-line><![CDATA[Teresina PI]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Secretaria de Estado da Saúde do Piauí Laboratório Central de Saúde Pública Dr. Costa Alvarenga ]]></institution>
<addr-line><![CDATA[Teresina PI]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Secretaria Municipal de Saúde de Teresina Diretoria de Vigilância em Saúde ]]></institution>
<addr-line><![CDATA[Teresina PI]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>27</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S1679-49742018000300022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S1679-49742018000300022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S1679-49742018000300022&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo:  descrever um protocolo simplificado para abordagem de casos suspeitos de meningite.  Métodos:  relato de experiência na abordagem diagnóstica das meningites no serviço de referência em doenças tropicais do estado do Piauí, Brasil, no período de 2007-2016; extraíram-se informações do Sistema de Informação de Agravos de Notificação (Sinan) e do livro de registro do laboratório; utilizou-se o teste do qui-quadrado para comparar os indicadores da vigilância epidemiológica baseados na classificação final dos casos de meningite; utilizou-se o teste de concordância Phi para verificar a correlação entre os diagnósticos etiológicos presumidos pelo protocolo e aqueles confirmados laboratorialmente.  Resultados:  considerando-se 4.096 casos de meningite estudados, houve redução na classificação genérica desses casos, de 72 para 47% (p&lt;0,001); a indicação do perfil de investigação laboratorial mostrou concordância com o diagnóstico final dos casos de meningite (rf=0,66; p&lt;0,001).  Conclusão:  o diagnóstico etiológico específico das meningites foi alcançado em maior proporção durante a utilização do protocolo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  describir un protocolo para el abordaje de casos sospechosos de meningitis.  Métodos:  se relata la experiencia del diagnóstico de meningitis en el servicio de referencia para enfermedades tropicales del estado de Piauí, Brasil, entre 2007 y 2016; extrajimos informaciones del Sistema de Información de Notificación (Sinan) y del libro de laboratorio; la prueba de chi-cuadrado verificó la alteración de los indicadores de la vigilancia epidemiológica basados en la clasificación de los casos de meningitis; usamos la prueba de concordancia Phi para correlacionar los diagnósticos etiológicos presumidos por el protocolo y aquellos confirmados laboratorialmente.  Resultados:  considerando los 4.096 casos de meningitis investigados, se observó reducción en la clasificación genérica de casos del 72 al 47% (p&lt;0,001); la selección del perfil de investigación mostró concordancia con la clasificación final de los casos de meningitis (rf=0,66; p&lt;0,001).  Conclusión:  el diagnóstico etiológico de las meningitis se alcanzó en mayor proporción durante la utilización del protocolo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  to describe a simplified protocol to diagnose suspected cases of meningitis.  Methods:  this is an experience report on the approach to diagnosing meningitis at the Tropical Diseases Reference Service in the state of Piauí, Brazil, between 2007 and 2016; information was extracted from the Notifiable Diseases Information System (SINAN) and the laboratory record book; the chi-square test was used to compare epidemiological surveillance indicators based on final meningitis case classification; the Phi coefficient was used to verify the correlation between presumed diagnosis and laboratory-confirmed diagnosis.  Results:  considering the 4,096 cases of meningitis investigated, there was a reduction in the generic classification of meningitis cases from 72% to 47% (p&lt;0.001); indicated laboratory investigation profile showed agreement with final meningitis case diagnosis. (rf=0.66; p&lt;0.001).  Conclusion:  a greater proportion of specific etiologic diagnosis of meningitis was achieved while the protocol was in use.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Diagnóstico]]></kwd>
<kwd lng="pt"><![CDATA[Epidemiologia Descritiva]]></kwd>
<kwd lng="pt"><![CDATA[Líquido Cefalorraquidiano]]></kwd>
<kwd lng="pt"><![CDATA[Meningite]]></kwd>
<kwd lng="pt"><![CDATA[Vigilância Epidemiológica]]></kwd>
<kwd lng="es"><![CDATA[Diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología Descriptiva]]></kwd>
<kwd lng="es"><![CDATA[Líquido Cefalorraquídeo]]></kwd>
<kwd lng="es"><![CDATA[Meningitis]]></kwd>
<kwd lng="es"><![CDATA[Vigilancia Epidemiológica]]></kwd>
<kwd lng="en"><![CDATA[Diagnosis;Epidemiology, Descriptive]]></kwd>
<kwd lng="en"><![CDATA[Cerebrospinal Fluid]]></kwd>
<kwd lng="en"><![CDATA[Meningitis]]></kwd>
<kwd lng="en"><![CDATA[Epidemiological Surveillance]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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