Encephalitis and meningitis are serious central nervous system diseases. There is currently a lack of comprehensive and accurate diagnosis and treatment pathways. Therefore, we conducted this multicenter, prospective, and randomized controlled study. It was designed to evaluate the diagnostic performance and its impact on the outcomes of the patients enrolled. As such, we came to the results of the optimal process of diagnosis and treatment strategy of encephalitis/meningeal syndromes with improved effective treatments.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
484
In Group of mNGS, all patients will be tested by meta next generation sequncing on admission, while patients in Group of PCR will be tested by polymerase chain reaction in accordance with the method in the guidelines.
Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine
Nanjing, Jiangsu, China
NOT_YET_RECRUITINGThe Second Affiliated Hospital of Soochow University
Suzhou, Jiangsu, China
NOT_YET_RECRUITINGThe First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, China
NOT_YET_RECRUITINGWuxi No.5 People's Hospital
Wuxi, Jiangsu, China
NOT_YET_RECRUITINGShanghai Sixth People's Hospital
Shanghai, Shanghai Municipality, China
NOT_YET_RECRUITINGShanghai Blue Cross Brain Hospital
Shanghai, Shanghai Municipality, China
RECRUITINGPeople's Hospital of Zhuji, Zhejiang Province
Zhuji, Zhejiang, China
NOT_YET_RECRUITINGThe change Modified Rankin Scale (mRS) at 1 year
The Modified Rankin Scale at 1 year Grade Description 0 No symptoms 1. Minor symptoms not interfering with lifestyle 2. Symptoms that lead to some restriction in lifestyle, but do not interfere with the patients' ability to look after themselves 3. Symptoms that restrict lifestyle and prevent totally independent living 4. Symptoms that clearly prevent independent living, although the patient does not need constant care and attention 5. Totally dependent, requiring constant help day and night
Time frame: mRS should be measured at 1 year
Mortality rate at 1 year
Mortality rate at 1 year
Time frame: Mortality rate at 1 year
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