Etiology of bacterial meningitis in children in Tuzla Canton

Humera Porobic-Jahic1, Dilista Piljic, Rahima Jahic

  • 1Clinic for Infectious Diseases, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina. humera.jahic@ukctuzla.ba

Insights

Bacterial meningitis is a serious childhood illness. In Tuzla Canton, Haemophilus influenzae, Neisseria meningitides, and Streptococcus pneumoniae were the most common causes, particularly in infants.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Epidemiology

Background:

  • Bacterial meningitis poses a significant threat to child health.
  • Understanding causative agents is crucial for effective public health strategies.

Purpose of the Study:

  • To determine the primary bacterial pathogens responsible for meningitis in children within Tuzla Canton.
  • To analyze epidemiological trends of pediatric bacterial meningitis in the region.

Main Methods:

  • Retrospective analysis of 140 pediatric cases (1 month to 14 years) diagnosed with bacterial meningitis between 1999 and 2009.
  • Inclusion criteria: clinical and laboratory confirmation of bacterial meningitis.
  • Data collected on patient demographics, causative agents, and seasonal incidence.

Main Results:

  • 140 cases of bacterial meningitis were recorded in Tuzla Canton over a decade, with a prevalence of 1.53/1000.
  • Infants aged 1-12 months were the most vulnerable group (p < 0.001).
  • Key identified pathogens included Haemophilus influenzae (13.6%), Neisseria meningitides (8.6%), and Streptococcus pneumoniae (5.7%) (p < 0.001). Peak incidence occurred in spring (April, May, November).

Conclusions:

  • Bacterial meningitis remains a concern in Tuzla Canton, with Haemophilus influenzae, Neisseria meningitides, and Streptococcus pneumoniae as leading causes.
  • Infants under one year are at highest risk.
  • Seasonal patterns indicate increased risk during spring months.
Abstract

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