Predicting neurological complications following acute bacterial meningitis in children versus adults
Joint Authors
Abd al-Qadir, Nadiyah A.
Farid, M.
Ghurabah, Daliyah
al-Hinnawi, Umaymah
al-Misiri, Rim
Haykal, Muizz
Source
Journal of the Egyptian Society of Parasitology
Issue
Vol. 49, Issue 1 (30 Apr. 2019), pp.227-234, 8 p.
Publisher
The Egyptian Society of Parasitology
Publication Date
2019-04-30
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
This study determined the predictors for neurological complications of bacterial meningitis in children versus adult patients.
This is a prospective study that enrolled 155 Egyptian patients with suspected acute bacterial meningitis (80 children less than 16 years and 75 adults more than 16 years) , treated for bacterial meningitis in Shebin El-kom Fever Hospital.
Nine relevant predictors were chosen to analyze their association with the incidence of neurological complications.
P-value < 0.05 was considered statistically significant .Of 80 children, who were treated for bact-erial meningitis, 8 children developed neurological complications (10%) without children death (0%).
The most important predictors for neurological complications in pediatric patients with bacterial meningitis were: age < 1 year (6.3%), seizures on admission (42.9%), CSF leucocytic count > 1000/mm3 (21%).
Of 75 adults who were treated for bacterial meningitis, 10 developed neurological complications (13.3%) and seven patients died (9.3%).
The most important predictors for neurological complications in adults with bacterial meningitis were seizures on admission (20%), the presence of co-morbidities (22.2%), CSF leucocytic count < 1000/mm3 (14.7%).
The seizures on admission, the presence of co-morbidities, CSF leucocytic count < 1000/mm3 proved to be the strongest predictors for neurological complications of bacterial meningitis in adult patients, on the other hand, age < 1 year, seizures at admission ,CSF leucocytic count > 1000/mm3 proved to be the strongest predictors for neurological complica-tions of bacterial meningitis in children and valuable to select patients for more intensive therapy.
American Psychological Association (APA)
al-Hinnawi, Umaymah& Abd al-Qadir, Nadiyah A.& al-Misiri, Rim& Farid, M.& Ghurabah, Daliyah& Haykal, Muizz. 2019. Predicting neurological complications following acute bacterial meningitis in children versus adults. Journal of the Egyptian Society of Parasitology،Vol. 49, no. 1, pp.227-234.
https://search.emarefa.net/detail/BIM-889005
Modern Language Association (MLA)
Abd al-Qadir, Nadiyah A.…[et al.]. Predicting neurological complications following acute bacterial meningitis in children versus adults. Journal of the Egyptian Society of Parasitology Vol. 49, no. 1 (Apr. 2019), pp.227-234.
https://search.emarefa.net/detail/BIM-889005
American Medical Association (AMA)
al-Hinnawi, Umaymah& Abd al-Qadir, Nadiyah A.& al-Misiri, Rim& Farid, M.& Ghurabah, Daliyah& Haykal, Muizz. Predicting neurological complications following acute bacterial meningitis in children versus adults. Journal of the Egyptian Society of Parasitology. 2019. Vol. 49, no. 1, pp.227-234.
https://search.emarefa.net/detail/BIM-889005
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 233-234
Record ID
BIM-889005