ETIOLOGY AND NEUROLOGICAL COMPLICATIONS OF BACTERIAL MENINGITIS IN 189 PATIENTS
Results of a seven year (April 1985 to March 1992) prospoective study of bacterial meningitis in 189 infants and children admitted to our Center indicate that: 1) Tiie Gram-negative bacilli, especially Klebsiella species, are the leading cause of bacterial meningitis in neonates and young infants (&...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
1997-06-01
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| Series: | Acta Medica Iranica |
| Subjects: | |
| Online Access: | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/4943.pdf&manuscript_id=4943 |
| _version_ | 1818749833083617280 |
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| author | P. Tabatabaie . S. Sayahtaheri. A. Siadati O. Alizad |
| author_facet | P. Tabatabaie . S. Sayahtaheri. A. Siadati O. Alizad |
| author_sort | P. Tabatabaie . |
| collection | DOAJ |
| description | Results of a seven year (April 1985 to March 1992) prospoective study of bacterial meningitis in 189 infants and children admitted to our Center indicate that: 1) Tiie Gram-negative bacilli, especially Klebsiella species, are the leading cause of bacterial meningitis in neonates and young infants (<2 months), group B Streptococcus meningitis is rare, and Listeria monocytogenes meningitis is not observed. 2) Haemophilus influenzae is the leading cause of bacterial meningitis in children under 4 years old and Streptococcus pneumoniae becomes the leading cause over 5 years old. 3) Nine percent of H. influenzae isolates were ampicillin - resistant and 5% of S. pneumoniae were penicillin G resistant. All but one Niesseria meningitidis isolates were penicillin - susceptible. Both penicillin G f chloramphenicol or ampicillin/chloramphenicol resistance among these isolates were 2 percent. 4) The neurological compilations and mortality were highest under two months of age, 39% of these neonates died due to complications as compared to 22% in all other age groups combined. 5) Dexamethasone improves outcome when used as an adjunctive therapy for bacterial meningitis in infants and children. Tlie immediate and long-term clinical profiles both indicate better outcomes for dexamethasone. |
| first_indexed | 2024-12-18T04:10:03Z |
| format | Article |
| id | doaj.art-df6d50f9a84c479e9aa9e226f4de48ec |
| institution | Directory Open Access Journal |
| issn | 0044-6025 |
| language | English |
| last_indexed | 2024-12-18T04:10:03Z |
| publishDate | 1997-06-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-df6d50f9a84c479e9aa9e226f4de48ec2022-12-21T21:21:29ZengTehran University of Medical SciencesActa Medica Iranica0044-60251997-06-01351-23338ETIOLOGY AND NEUROLOGICAL COMPLICATIONS OF BACTERIAL MENINGITIS IN 189 PATIENTSP. Tabatabaie .S. Sayahtaheri.A. Siadati O. AlizadResults of a seven year (April 1985 to March 1992) prospoective study of bacterial meningitis in 189 infants and children admitted to our Center indicate that: 1) Tiie Gram-negative bacilli, especially Klebsiella species, are the leading cause of bacterial meningitis in neonates and young infants (<2 months), group B Streptococcus meningitis is rare, and Listeria monocytogenes meningitis is not observed. 2) Haemophilus influenzae is the leading cause of bacterial meningitis in children under 4 years old and Streptococcus pneumoniae becomes the leading cause over 5 years old. 3) Nine percent of H. influenzae isolates were ampicillin - resistant and 5% of S. pneumoniae were penicillin G resistant. All but one Niesseria meningitidis isolates were penicillin - susceptible. Both penicillin G f chloramphenicol or ampicillin/chloramphenicol resistance among these isolates were 2 percent. 4) The neurological compilations and mortality were highest under two months of age, 39% of these neonates died due to complications as compared to 22% in all other age groups combined. 5) Dexamethasone improves outcome when used as an adjunctive therapy for bacterial meningitis in infants and children. Tlie immediate and long-term clinical profiles both indicate better outcomes for dexamethasone.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/4943.pdf&manuscript_id=4943etiological agentsempirical therapyneurological complications |
| spellingShingle | P. Tabatabaie . S. Sayahtaheri. A. Siadati O. Alizad ETIOLOGY AND NEUROLOGICAL COMPLICATIONS OF BACTERIAL MENINGITIS IN 189 PATIENTS Acta Medica Iranica etiological agents empirical therapy neurological complications |
| title | ETIOLOGY AND NEUROLOGICAL COMPLICATIONS OF BACTERIAL MENINGITIS IN 189 PATIENTS |
| title_full | ETIOLOGY AND NEUROLOGICAL COMPLICATIONS OF BACTERIAL MENINGITIS IN 189 PATIENTS |
| title_fullStr | ETIOLOGY AND NEUROLOGICAL COMPLICATIONS OF BACTERIAL MENINGITIS IN 189 PATIENTS |
| title_full_unstemmed | ETIOLOGY AND NEUROLOGICAL COMPLICATIONS OF BACTERIAL MENINGITIS IN 189 PATIENTS |
| title_short | ETIOLOGY AND NEUROLOGICAL COMPLICATIONS OF BACTERIAL MENINGITIS IN 189 PATIENTS |
| title_sort | etiology and neurological complications of bacterial meningitis in 189 patients |
| topic | etiological agents empirical therapy neurological complications |
| url | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/4943.pdf&manuscript_id=4943 |
| work_keys_str_mv | AT ptabatabaie etiologyandneurologicalcomplicationsofbacterialmeningitisin189patients AT ssayahtaheri etiologyandneurologicalcomplicationsofbacterialmeningitisin189patients AT asiadatioalizad etiologyandneurologicalcomplicationsofbacterialmeningitisin189patients |