Bacterial meningitis in children under 15 years of age in Nepal

BMC Pediatrics

Jeevan Bahadur Sherchand²  Shital Raj Basnyat¹  Nabaraj Adhikari¹  Rekha Poudel³  Anisha Shrestha²  Akriti Subedi¹  Shamshul Ansari⁴  Sarmila Tandukar²  Rajani Ghaju Shrestha² 

[1] Kantipur College of Medical Science, Sitapaila, Kathmandu, Nepal;Public Health Research Laboratory, Institute of Medicine, Maharajgunj, Kathmandu, Nepal;Central Department of Microbiology, Tribhuvan University, Kirtipur, Kathmandu, Nepal;Department of Microbiology, Chitwan Medical College, Bharatpur, Chitwan, Nepal

关键词: Nepal;    Meningitis;    Children;    Bacteria;   

Others  :  1223789
DOI  :  10.1186/s12887-015-0416-6

 received in 2014-12-24, accepted in 2015-08-13,  发布年份 2015

【 摘 要 】

Background

Bacterial meningitis in children is a life-threatening problem resulting in severe morbidity and mortality. For the prompt initiation of antibacterial therapy, rapid and reliable diagnostic methods are of utmost importance. Therefore, this study was designed to find out the rate of bacterial pathogens of meningitis from suspected cases by performing conventional methods and latex agglutination.

Methods

A descriptive type of study was carried out from May 2012 to April 2013. Cerebrospinal fluid (CSF) specimens from 252 suspected cases of meningitis were subjected for Gram staining, bacterial culture and latex agglutination test. The identification of growth of bacteria was done following standard microbiological methods recommended by American Society for Microbiology. Antibiotic sensitivity testing was done by modified Kirby-Bauer disk diffusion method.

Results

From the total 252 suspected cases, 7.2 % bacterial meningitis was revealed by Gram staining and culture methods whereas latex agglutination method detected 5.6 %. Gram-negative organisms contributed the majority of the cases (72.2 %) with Haemophilus influenzae as the leading pathogen for meningitis. Overall, 33.3 % mortality rate was found.

Conclusions

In conclusion, a significant rate of bacterial meningitis was found in this study prompting concern for national wide surveillance.

【 授权许可】

   
2015 Shrestha et al.

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