Retrospective Evaluation of Cases with the Diagnosis of Acute Bacterial Meningitis Over a 33-Year Period
Introduction: In this study, we retrospectively evaluated the epidemiological and clinical features, risk factors, laboratory findings, and relations between the therapy duration and mortality rates of cases followed with the diagnosis of acute bacterial meningitis. Materials and Methods: We reviewe...
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| Format: | Article |
| Language: | English |
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Bilimsel Tip Yayinevi
2012-12-01
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| Series: | Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi |
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| Online Access: | http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2012-17-04-161-166.pdf |
| _version_ | 1797907934414372864 |
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| author | Hüsrev DİKTAŞ Mustafa HATİPOĞLU Vedat TURHAN Ali ACAR Oral ÖNCÜL Nafiz KOÇAK Levent GÖRENEK |
| author_facet | Hüsrev DİKTAŞ Mustafa HATİPOĞLU Vedat TURHAN Ali ACAR Oral ÖNCÜL Nafiz KOÇAK Levent GÖRENEK |
| author_sort | Hüsrev DİKTAŞ |
| collection | DOAJ |
| description | Introduction: In this study, we retrospectively evaluated the epidemiological and clinical features, risk factors, laboratory findings, and relations between the therapy duration and mortality rates of cases followed with the diagnosis of acute bacterial meningitis. Materials and Methods: We reviewed data of patients with acute bacterial meningitis admitted to our hospital over a period of 33 years (1977-2010). Clinical, laboratory and demographic data were collected from the official records retrospectively. The data were analyzed through SPSS (Statistical Package for the Social Sciences), version 15.0. Results: One hundred and two of (97.2%) 110 cases were male and 8 (7.3%) were female, and the average age was 22.5 ± 5.93 (minimum 14, maximum 59). Recurrent meningitis had been seen in 10 (9.1%) cases. First admission to the hospital was 3.5 ± 4.1 days after the onset of complaints. While the most important physical examination findings were fever (91.8%), neck stiffness (95.5%) and Kernig’s and Brudzinski signs (84.5%), the most common neurologic sign was confusion (64.5%). In the microbiological analysis of the cerebrospinal fluid, pathogens were determined in 40% of all cases with Gram stain. While 75% of those showed gram-negative morphology, 25% showed gram-positive coccus morphology. Cultivation was detected in 27.3% of cerebrospinal fluid cultures. Conclusion: For acute bacterial meningitis diagnosis, Gram stain examination of cerebrospinal fluid is very important as well as clinical findings and physical examination. |
| first_indexed | 2024-04-10T10:44:39Z |
| format | Article |
| id | doaj.art-aeb6b88c9e074acbbd55be1580040bd9 |
| institution | Directory Open Access Journal |
| issn | 1300-932X 1300-932X |
| language | English |
| last_indexed | 2024-04-10T10:44:39Z |
| publishDate | 2012-12-01 |
| publisher | Bilimsel Tip Yayinevi |
| record_format | Article |
| series | Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi |
| spelling | doaj.art-aeb6b88c9e074acbbd55be1580040bd92023-02-15T16:20:22ZengBilimsel Tip YayineviFlora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi1300-932X1300-932X2012-12-01174161166Retrospective Evaluation of Cases with the Diagnosis of Acute Bacterial Meningitis Over a 33-Year PeriodHüsrev DİKTAŞ0Mustafa HATİPOĞLU1Vedat TURHAN2Ali ACAR3Oral ÖNCÜL4Nafiz KOÇAK5Levent GÖRENEK6Clinic of Infectious Diseases and Clinical Microbiology, Girne Military Hospital, Girne, CyprusClinic of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, TurkeyClinic of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, TurkeyClinic of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, TurkeyClinic of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, TurkeyClinic of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, TurkeyClinic of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, Istanbul, TurkeyIntroduction: In this study, we retrospectively evaluated the epidemiological and clinical features, risk factors, laboratory findings, and relations between the therapy duration and mortality rates of cases followed with the diagnosis of acute bacterial meningitis. Materials and Methods: We reviewed data of patients with acute bacterial meningitis admitted to our hospital over a period of 33 years (1977-2010). Clinical, laboratory and demographic data were collected from the official records retrospectively. The data were analyzed through SPSS (Statistical Package for the Social Sciences), version 15.0. Results: One hundred and two of (97.2%) 110 cases were male and 8 (7.3%) were female, and the average age was 22.5 ± 5.93 (minimum 14, maximum 59). Recurrent meningitis had been seen in 10 (9.1%) cases. First admission to the hospital was 3.5 ± 4.1 days after the onset of complaints. While the most important physical examination findings were fever (91.8%), neck stiffness (95.5%) and Kernig’s and Brudzinski signs (84.5%), the most common neurologic sign was confusion (64.5%). In the microbiological analysis of the cerebrospinal fluid, pathogens were determined in 40% of all cases with Gram stain. While 75% of those showed gram-negative morphology, 25% showed gram-positive coccus morphology. Cultivation was detected in 27.3% of cerebrospinal fluid cultures. Conclusion: For acute bacterial meningitis diagnosis, Gram stain examination of cerebrospinal fluid is very important as well as clinical findings and physical examination.http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2012-17-04-161-166.pdfBacterial meningitisCerebrospinal fluidGram stainCulture |
| spellingShingle | Hüsrev DİKTAŞ Mustafa HATİPOĞLU Vedat TURHAN Ali ACAR Oral ÖNCÜL Nafiz KOÇAK Levent GÖRENEK Retrospective Evaluation of Cases with the Diagnosis of Acute Bacterial Meningitis Over a 33-Year Period Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi Bacterial meningitis Cerebrospinal fluid Gram stain Culture |
| title | Retrospective Evaluation of Cases with the Diagnosis of Acute Bacterial Meningitis Over a 33-Year Period |
| title_full | Retrospective Evaluation of Cases with the Diagnosis of Acute Bacterial Meningitis Over a 33-Year Period |
| title_fullStr | Retrospective Evaluation of Cases with the Diagnosis of Acute Bacterial Meningitis Over a 33-Year Period |
| title_full_unstemmed | Retrospective Evaluation of Cases with the Diagnosis of Acute Bacterial Meningitis Over a 33-Year Period |
| title_short | Retrospective Evaluation of Cases with the Diagnosis of Acute Bacterial Meningitis Over a 33-Year Period |
| title_sort | retrospective evaluation of cases with the diagnosis of acute bacterial meningitis over a 33 year period |
| topic | Bacterial meningitis Cerebrospinal fluid Gram stain Culture |
| url | http://www.floradergisi.org/getFileContent.aspx?op=REDPDF&file_name=2012-17-04-161-166.pdf |
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