New CRP Protein Test Revolutionizes Bacterial Meningitis Diagnosis

Thu 1st May, 2025

Researchers at Amsterdam University Medical Centers have introduced a groundbreaking diagnostic test that enables prompt and precise identification of bacterial meningitis. This innovative test evaluates the levels of the C-reactive protein (CRP) in cerebrospinal fluid, a crucial marker already utilized in blood tests for detecting bacterial infections. Traditional methods for diagnosing meningitis often involve lengthy waiting periods, which can delay critical treatment.

The findings of this study are detailed in the prestigious journal The Lancet Regional Health--Europe. Bacterial meningitis poses significant health risks, with mortality rates as high as one in six patients, while many survivors may experience long-term complications. Therefore, swift diagnosis and intervention are essential.

According to Matthijs Brouwer, a neurologist at Amsterdam UMC, the differentiation between bacterial meningitis and other similar conditions has historically been challenging for medical professionals due to a lack of reliable diagnostic tests. The research team has established that CRP levels in cerebrospinal fluid serve as a reliable indicator of bacterial meningitis.

Previous laboratory assessments have confirmed the test's effectiveness, revealing that the equipment used for measuring CRP in blood is also capable of accurately assessing CRP levels in cerebrospinal fluid. Brouwer emphasized the significant advantage of utilizing existing laboratory infrastructure for these measurements, allowing results to be obtained within half an hour post-sample collection. This rapid turnaround can facilitate timely treatment for affected patients.

Since its implementation in June 2024, the new diagnostic test has been integrated into routine clinical practice at Amsterdam UMC. The recent study elaborates on the test's introduction and its practical efficacy. Initial results indicate that all patients diagnosed with bacterial meningitis exhibited elevated CRP levels in their cerebrospinal fluid, whereas only a minority of non-meningitis patients showed similar increases.

Further validation of the test's reliability was conducted with pediatric patients and those from Aalborg University Hospital in Denmark. With its straightforward application and low cost--ranging from three to five euros--this test is expected to be rapidly adopted by hospitals across the region. Brouwer noted that any laboratory capable of performing blood CRP tests can implement this cerebrospinal fluid test almost immediately.

In conclusion, the introduction of the CRP protein test marks a significant advancement in the rapid diagnosis of bacterial meningitis, potentially improving patient outcomes through expedited treatment.


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