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Neonatal meningitis.

A A Al-Harthi1, K A Dagriri, A A Asindi

  • 1College of Medicine, King Khalid University, PO Box 641, Abha, Kingdom of Saudi Arabia.

Saudi Medical Journal
|August 14, 2001
PubMed
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Klebsiella pneumoniae and Serratia marcescens were the primary causes of neonatal meningitis in Saudi Arabia between 1993-1998. This study highlights unique bacterial patterns and guides antibiotic choices for neonatal infections.

Area of Science:

  • Neonatal Medicine
  • Infectious Diseases
  • Microbiology

Background:

  • Neonatal meningitis poses a significant threat to infant health.
  • Understanding local etiological agents and their antibiotic resistance is crucial for effective treatment.

Purpose of the Study:

  • To identify the main bacterial pathogens causing neonatal meningitis.
  • To assess the antibiotic susceptibility patterns of these pathogens.
  • To inform empirical antibiotic therapy in a Saudi Arabian intensive care unit.

Main Methods:

  • Retrospective study of cerebrospinal fluid cultures from neonates.
  • Analysis of 32 meningitis episodes from 1473 nursery admissions (1993-1998).

Main Results:

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  • Klebsiella pneumoniae (31%) and Serratia marcescens (21%) were the predominant pathogens.
  • High incidence of concurrent septicemia (58%) observed.
  • Mortality rate was 48%.

Conclusions:

  • Klebsiella pneumoniae and Serratia sp. are key etiological agents in this region.
  • Serratia infection frequency is notably high compared to global reports.
  • Imipenem and cefotaxime are recommended empirical antibiotics, replacing ampicillin.