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Published on: October 29, 2014
[Bacterial meningitis in children: epidemiological data and outcome]
Insights
Bacterial meningitis in children is serious, with Streptococcus pneumoniae and Haemophilus influenzae being the most common causes. Introducing the pneumococcal vaccine is recommended to prevent severe outcomes.
Area of Science:
- Pediatric infectious diseases
- Microbiology
- Epidemiology
Context:
- Bacterial meningitis in children presents a significant public health challenge due to its high incidence and severity.
- Understanding the epidemiological and clinical patterns of pediatric bacterial meningitis is crucial for effective management.
Purpose:
- To describe the epidemiological, clinical, and evolutionary data of bacterial meningitis in children aged 3 months to 15 years.
- To identify the primary etiological agents responsible for bacterial meningitis in the pediatric population.
Summary:
- A retrospective study analyzed 30 cases of bacterial meningitis in children (3 months-13 years) from 2006-2011.
- Streptococcus pneumoniae (43%) and Haemophilus influenzae (40%) were the predominant pathogens. Clinical signs included fever, seizures, and vomiting, with neurological sequelae observed in 26% of cases.
- Despite vaccination, none of the patients received pneumococcal or Hib vaccines, highlighting potential gaps in immunization coverage.
Impact:
- The findings underscore the importance of Streptococcus pneumoniae and Haemophilus influenzae as leading causes of pediatric bacterial meningitis.
- The study strongly advocates for the inclusion of the pneumococcal vaccine in the national vaccination schedule to reduce the burden of this severe infection.
Background:
The bacterial meningitis in children remains a worrisome affection both by its frequency and by its gravity.
Aim:
describe the epidemiological, clinical and evolutionary data of bacterial meningitis in children aged between 3 months and 15 years.
Methods:
we conducted a retrospective study of all cases of bacterial meningitis collected in the department of pediatrics of Hedi Chaker hospital, during a period of 6 years (2006-2011). We analyzed the files retrospectively and we studied the epidemiological data and the outcome.
Results:
Thirty cases of bacterial meningitis were recorded. The most frequent species were Streptococcus pneumoniae and Haemophilus influenzae followed by Neisseria meningitidis with respectively 43%, 40%, and 6% of cases. The yearly distribution of these bacteria showed an increase of the rate of the bacterial meningitis during the last 2 years. The average age of our patients was 1 year 6months (3 months-13 years). All the patients were vaccinated according to the Tunisian vaccination calendar; and none of them had pneumococcal vaccine or the Hib vaccine. The main clinical manifestations were fever (100 %), seizures (14 %) and vomiting (44 %). Bulging fontanel was noted in 15cas (55 %), somnolence in 11 cases (40 %) and axial hypotonia in 12 cases (44 %). In the outcome, the neurological sequelae were showed in eight patients (26%).
Conclusion:
In our study, H. influenzae and S. pneumoniae were the main microorganisms responsible for bacterial meningitis. We strongly recommend the introduction pneumococcal vaccine in our vaccination calendar.
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