Characteristics | Bacterial meningitis vs viral meningitis | Tubercular meningitis vs viral meningitis | ||||||
---|---|---|---|---|---|---|---|---|
Univariate analysis | Multivariate analysis# | Univariate analysis | Multivariate analysis# | |||||
Odds ratio (95% CI) | P value | Adjusted OR (95% CI) | P value | Odds ratio (95% CI) | P value | Adjusted OR (95% CI) | P value | |
Age, ≥40 years | 3.1 (1.1–8.8) | 0.034 | 2.6 (0.8–8.9) | 0.134 | 3.9 (0.9–17.3) | 0.078 | 6.6 (0.2–180) | 0.265 |
Male sex | 1.8 (0.6–5.2) | 0.291 | 1.5 (0.4–5.8) | 0.555 | 0.7 (0.2–2.9) | 0.599 | 0.2 (0.1–4.0) | 0.297 |
Place of residence, rural | 3.7 (1.3–10.7) | 0.015 | 4.1 (1.2–14.4) | 0.030 | 5.7 (1.2–28.1) | 0.032 | 1.5 (0.1–20.7) | 0.769 |
Immunocompromised statea | 2.9 (0.3–23.8) | 0.332 |  |  | 8.0 (0.8–82.5) | 0.081 | 10.1 (0.4–252) | 0.159 |
Duration of fever at admission, ≥7 days | 1.2 (0.4–3.5) | 0.742 |  |  | 2.5 (0.6–10.9) | 0.212 |  |  |
Neck stiffness | 2.8 (1.0–8.1) | 0.062 |  |  | 1.9 (0.4–8.0) | 0.405 |  |  |
Lab findings | ||||||||
 Leukocytosis (≥10×109/L) | 1.5 (0.5–4.4) | 0.423 |  |  | 0.5 (0.1–2.1) | 0.344 |  |  |
 Raised liver enzymes (AST>40 or ALT>35 U/L) | 1.8 (0.7–5.1) | 0.244 |  |  | 0.7 (0.2–2.9) | 0.618 |  |  |
 Raised blood urea (>7.1 mmol/L) | 2.5 (0.5–11.9) | 0.258 |  |  | 5.3 (0.8–33.5) | 0.076 | 5.5 (0.2–177) | 0.336 |
 Raised CRP (≥1 mg/dL) | 3.8 (1.2–11.7) | 0.021 |  |  | 1.8 (0.4–8.2) | 0.447 |  |  |
CSF analysis | ||||||||
 White blood cells (/μL), ≥100 | 4.1 (1.4–11.9) | 0.009 |  |  | 4.6 (0.9–22.3) | 0.059 |  |  |
 Neutrophil count (/μL), ≥50 | 4.1 (1.4–11.9) | 0.009 |  |  | 3.1 (0.7–13.7) | 0.137 |  |  |
 Protein (g/L), ≥1.0 | 8.7 (2.6–29.2) | <0.001 |  |  | 20.6 (3.2–133) | 0.001 |  |  |
 CSF/blood glucose ratio, ≤40 | 27.6 (3.5–218.9) | 0.002 |  |  | 25.2 (2.5–255) | 0.006 |  |  |
 ADA (IU/L), ≥10 | 26.1 (3.3–206) | 0.002 | 25.5 (3.1–212) | 0.003 | 40.5 (3.9–417) | 0.002 | 42.2 (2.0–882) | 0.016 |
Abnormal CT/MRI | 0.4 (0.1–1.8) | 0.256 |  |  | 0.2 (0.1–1.1) | 0.070 |  |  |