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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.
Introduction:
Bacterial meningitis is one of the most serious infectious diseases in childhood.
Aim:
To identify the most common causes of bacterial meningitis in children in Tuzla Canton.
Patients And Methods:
This is a retrospective study which included 140 children, aged from 1 month to 14 years, treated at the Clinic for Infectious Diseases Tuzla, in the period 1999-2009, who had clinical and laboratory parameters of bacterial meningitis.
Results:
In Tuzla Canton in ten year period were registered 140 cases of bacterial meningitis in children aged 1 month to 14 years. Prevalence was 1.53/1000. The average age of patients was 3.6 +/- 3.8 years. Male to female ratio was 1.3:1. April, May and November were the months with the most reported cases of bacterial meningitis (p = 0.02). Most affected were children 1-12 months of age (p < 0.001). The most common pathogens of bacterial meningitis were Haemophilus influenzae (13.6%), Neisseria meningitides (8.6%) and Streptococcus pneumoniae (5.7%) (p < 0.001). Mortality was 2.14%.
Conclusion:
Bacterial meningitis is present in Tuzla Canton, and three major pathogens are Haemophilus influenzae, Neisseria meningitis and Streptococcus pneumoniae. The most affected were children 1-12 months of age, and most cases of bacterial meningitis occurred in spring.
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