| Summary: | Background: Mortality and disability in children caused by bacterial meningitis is
still quite high and is associated with quality of care. So that medical audit should be
done as an effort to improve patient safety.
To Objectives: determine compatibility the practice management of bacterial
meningitis in children with medical care guidelines based on Dr.Sardjito Hospital
standard of medical service (SMS) 2005 and IDAI SMS 2010 and then determines
the factors that cause deficiency.
audit Methods: Retrospective was performed using audit criterion and standards
based on Dr.Sardjito Hospital SMS 2005 and IDAI SMS 2010. Subjects were
children 1 month-18 years of age, hospitalized with a diagnosis ofbacterial meningitis
or bacterial meningoencephalitis in the pediatric ward during period of 2 years
between January 1, 2011 until May 31, 2012.
Result: There were 114 children with a diagnosis of bacterial meningitis during the
audit period. The average length of time in the emergency room treatment is 89
minutes with a median of 78 minutes. Lumbal puncture were performed with median
time 4.5 hours (interquatil range 2.3 to18.2 hours) since patient admitted. Only 62
(54.4%) patients were received a dose of intracranial antibiotics within 6 hours since
admission, but this deficiency is not proven to affect the outcome of death (Odds
Ratio [OR]: 0.7
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