Page last updated: 2024-10-22

acetaminophen and Bacterial Meningitides

acetaminophen has been researched along with Bacterial Meningitides in 8 studies

Acetaminophen: Analgesic antipyretic derivative of acetanilide. It has weak anti-inflammatory properties and is used as a common analgesic, but may cause liver, blood cell, and kidney damage.
paracetamol : A member of the class of phenols that is 4-aminophenol in which one of the hydrogens attached to the amino group has been replaced by an acetyl group.

Research Excerpts

ExcerptRelevanceReference
"Acute bacterial meningitis is a bacterial infection of the membranes that surround and protect the brain, known as the meninges."2.72Non-corticosteroid adjuvant therapies for acute bacterial meningitis. ( Bentzer, P; Calevo, MG; Fisher, J; Linder, A, 2021)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (25.00)18.2507
2000's0 (0.00)29.6817
2010's4 (50.00)24.3611
2020's2 (25.00)2.80

Authors

AuthorsStudies
Fisher, J1
Linder, A1
Calevo, MG1
Bentzer, P1
Savonius, O1
Rugemalira, E1
Roine, I2
Cruzeiro, ML2
Peltola, H3
Pelkonen, T2
Molyneux, EM1
Kawaza, K1
Phiri, A1
Chimalizeni, Y1
Mankhambo, L1
Schwalbe, E1
Kataja, M2
Pensulo, P1
Chilton, L1
Thwaites, GE1
Pitkäranta, A1
Bharti, B1
Bharti, S1
Bonadio, WA1
Bellomo, T1
Brady, W1
Smith, D1
Casas Gómez, J1
García Jiménez, JL1
Rota Zapata, L1
Rodríguez Martín, A1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Slow Initial β-lactam Infusion With High-dose Paracetamol to Improve the Outcomes of Childhood Bacterial Meningitis, Especially of Pneumococcal Meningitis, in Angola.[NCT01540838]Phase 4375 participants (Actual)Interventional2012-02-29Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

A Change in Hearing Threshold Compared to the First Test Result

Hearing thresholds (in decibel, dB) were determined by brainstem evoked response audiometry (BERA), for each ear separately. The better ear's hearing threshold, obtained on admission or shortly thereafter, was compared with the better ear's hearing threshold obtained at earliest after one week of treatment. (NCT01540838)
Timeframe: Hearing thresholds obtained during any of the first three days after hospital admission were compared with hearing thresholds obtained on day seven or later, during the hospital stay. The longest hospital stay was 84 days.

InterventiondB (Median)
Infusion With Paracetamol0
Bolus With Placebo0

All Deaths During Hospital Stay

All patients who had received at least one dose of treatment and died during the hospital stay. (NCT01540838)
Timeframe: The outcome was assessed each day until the patient was discharged from the hospital. The longest hospital stay was 84 days, while the last death occurred 39 days after treatment initiation.

InterventionParticipants (Count of Participants)
Infusion With Paracetamol71
Bolus With Placebo75

Day 7 Mortality

All patients who had received at least one dose of treatment and were dead on day 7 from the institution of treatment on day 1. (NCT01540838)
Timeframe: On day 7 from the institution of treatment

InterventionParticipants (Count of Participants)
Infusion With Paracetamol61
Bolus With Placebo64

Death or Any Neurological Sequelae at Discharge From Hospital.

Defined as death or any severe neurological sequelae, or hemi- or monoparesis, or ataxia, or psychomotor retardation of any degree. (NCT01540838)
Timeframe: Examined at discharge from hospital. The longest hospital stay was 84 days.

InterventionParticipants (Count of Participants)
Infusion With Paracetamol104
Bolus With Placebo89

Death or Any Neurological Sequelae on Day 7

Defined as death or any severe neurological sequelae, or hemi- or monoparesis, or ataxia, or psychomotor retardation of any degree. (NCT01540838)
Timeframe: Examined on day 7 since institution of treatment.

InterventionParticipants (Count of Participants)
Infusion With Paracetamol96
Bolus With Placebo86

Death or Severe Neurological Sequelae at Discharge

Death or severe neurological sequelae, defined as blindness, tetraplegia/paresis, hydrocephalus requiring a shunt and severe psychomotor retardation (NCT01540838)
Timeframe: Examined at discharge from hospital. The longest hospital stay was 84 days.

InterventionParticipants (Count of Participants)
Infusion With Paracetamol90
Bolus With Placebo85

Death or Severe Neurological Sequelae on Day 7

Death or severe neurological sequelae, defined as blindness, tetraplegia/paresis, hydrocephalus requiring a shunt and severe psychomotor retardation (NCT01540838)
Timeframe: Examined on day 7 since institution of treatment

InterventionParticipants (Count of Participants)
Infusion With Paracetamol80
Bolus With Placebo75

Number of Participants With Deafness

Hearing thresholds (in decibel, dB) were determined by brainstem evoked response audiometry (BERA), for each ear separately. Deafness was defined as a hearing threshold >80 dB in the better ear. (NCT01540838)
Timeframe: This outcome includes hearing thresholds determined at earliest seven days after the institution of treatment, during the hospital stay. The longest hospital stay was 84 days.

InterventionParticipants (Count of Participants)
Infusion With Paracetamol3
Bolus With Placebo1

Status on the Modified Glasgow Outcome Scale

"Scores on the modified Glasgow Outcome Scale which range from a maximum of 5 (best) to a minimum of 1 (worst) points.~The Glasgow Outcome Scale categorizes the outcome after brain injury into five categories, based on the level and severeness of disability. As hearing impairment is one of the most common sequelae of bacterial meningitis, an assessment of hearing should be included when estimating the grade of disability.~Hearing thresholds (in decibel, dB) were determined by brainstem evoked response audiometry (BERA), for each ear separately." (NCT01540838)
Timeframe: Examined at discharge from hospital, except for hearing evaluations which were performed at earliest seven days since the institution of treatment, during the hospital stay. The longest hospital stay was 84 days.

Interventionscore on a scale (Median)
Infusion With Paracetamol5
Bolus With Placebo5

Reviews

1 review available for acetaminophen and Bacterial Meningitides

ArticleYear
Non-corticosteroid adjuvant therapies for acute bacterial meningitis.
    The Cochrane database of systematic reviews, 2021, 11-23, Volume: 11

    Topics: Acetaminophen; Adrenal Cortex Hormones; Adult; Anti-Bacterial Agents; Child; Hearing Loss; Humans; M

2021

Trials

3 trials available for acetaminophen and Bacterial Meningitides

ArticleYear
Extended Continuous β-Lactam Infusion With Oral Acetaminophen in Childhood Bacterial Meningitis: A Randomized, Double-blind Clinical Trial.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021, 05-18, Volume: 72, Issue:10

    Topics: Acetaminophen; beta-Lactams; Child; Double-Blind Method; Drug Therapy, Combination; Humans; Meningit

2021
Glycerol and acetaminophen as adjuvant therapy did not affect the outcome of bacterial meningitis in Malawian children.
    The Pediatric infectious disease journal, 2014, Volume: 33, Issue:2

    Topics: Acetaminophen; Anti-Bacterial Agents; Ceftriaxone; Double-Blind Method; Drug Therapy, Combination; G

2014
Slow initial β-lactam infusion and oral paracetamol to treat childhood bacterial meningitis: a randomised, controlled trial.
    The Lancet. Infectious diseases, 2011, Volume: 11, Issue:8

    Topics: Acetaminophen; Adolescent; Angola; Anti-Infective Agents; Antipyretics; Cefotaxime; Child; Child, Pr

2011

Other Studies

4 other studies available for acetaminophen and Bacterial Meningitides

ArticleYear
Bacterial meningitis: frapper fort ou frapper doucement?
    The Lancet. Infectious diseases, 2011, Volume: 11, Issue:8

    Topics: Acetaminophen; Anti-Infective Agents; Antipyretics; Cefotaxime; Female; Gram-Positive Bacteria; Huma

2011
Antibiotics by bolus or infusion for bacterial meningitis?
    The Lancet. Infectious diseases, 2012, Volume: 12, Issue:4

    Topics: Acetaminophen; Anti-Infective Agents; Antipyretics; Cefotaxime; Female; Gram-Positive Bacteria; Huma

2012
Correlating changes in body temperature with infectious outcome in febrile children who receive acetaminophen.
    Clinical pediatrics, 1993, Volume: 32, Issue:6

    Topics: Acetaminophen; Administration, Oral; Age Factors; Bacteremia; Body Temperature; Child, Preschool; Fe

1993
[Neuro-tuberculosis: solitary supratentorial tuberculoma and meningitis in a 5-year-old child].
    Anales espanoles de pediatria, 1998, Volume: 49, Issue:4

    Topics: Acetaminophen; Amoxicillin; Analgesics, Non-Narcotic; Anti-Bacterial Agents; Child, Preschool; Clavu

1998