Summary: | Bacterial meningitis causes morbidity and mortality in children. Some
researches had been done in order to find the predictors of mortality of bacterial
meningitis in children. Low cerebrospinal (CSF) glucose level was hypothesized
as the pathological process happened in brain. This study is aimed to know
whether a low CSF glucose level is a mortality predictor of bacterial meningitis in
children or not.
The design of this study was retrospective cohort study by collecting data
from medical records. Subjects of the study are children who were diagnosed as
bacterial meningitis, that categorized as low CSF glucose leve�l 4(0 mg/dl) and
normal/high CSF glucose level (>40mg/dl), each group with 34 patients. Then we
followed whether there was death or not as patients outcome.
Subjects consists of 44 boys and 24 girls. Most of them was 1-12 months
old (40 patients). Fifteen patients died (22,1%) and 53 patients still alive (77,9%).
Based on the bivariat analysis, we revealed hat sex (girl), shock, and
hyponatremia (<130 mEq/l) were associated with mortality and statistically
significant. Based on multivariate analysis, sex (girl), shock and hyponatremia
were the independent variabels of mortality predictor. Low CSF glucose level
proved as a mortality predictor (RR 3,209
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