Epidemiology of bacterial meningitis in children admitted to Gondar University Hospital in the post pneumococcal vaccine era

The Pan African Medical Journal

Ashenafi Tazebew Amare¹  Zemene Tigabu Kebede¹  Henry Delois Welch² 

[1] Department of Paediatrics, University of Gondar College of Medicine and Health Sciences, Gondar, EthiopiaBaylor College of Medicine, Houston, USA;;

关键词: meningitis;    children;    resource limited;    ethiopia;    pneumococcal vaccine;   

DOI  :  10.11604/pamj.2018.31.193.10254

来源: DOAJ

【 摘 要 】

INTRODUCTION: Community acquired bacterial meningitis (CABM) is responsible for high mortality and disabling sequelae. Introduction of pneumococcal conjugate vaccine (PCV-10) and haemophilus influenzea type b (Hib) has changed the epidemiological and clinical features of patients presenting with CABM as it is shown in different literatures over the last decade. The aim of this study was to assess the clinical and epidemiologic features and outcomes of CABM after the introduction of PCV-10 in Gondar University Hospital (GUH). METHODS: this is a retrospective study among children between 2 months and 14 years of age discharged from Gondar University Hospital. All patient records discharged with a diagnosis of meningitis at GUH were reviewed from September 2011 - September 2013. The data was collected using a structured questionnaire from the patient record charts and analysis was done using SPSS-20. RESULTS: 80 cases (1.6%) of CABM out of 4996 admissions were identified. There were 60 (75%) cases of CABM using WHO criteria of cerebrospinal fluid leukocytosis (CSF)100cells/mm3, or 10-100cells/mm3 with either hypoglycorrhea or increased protein; and 20 (25%) with culture confirmation. S. Pneumoniaewas the most frequent pathogen identified in 14 (70%) children. The most common age group were infants 2-12 month old (n = 32, 40%). Children with adverse outcomes had shown a higher frequency of being older children (p = 0.045), loss of consciousness (p = 0.046), seizure at admission (p -0.01), and a positive CSF culture (p = 0.03). CONCLUSION: introduction of PCV-10 has shown a decreased admission rate, mortality, and neurologic sequelae due to CABM.

【 授权许可】

Unknown