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Published on: November 5, 2019
Clinical characteristics and prognostic factors in childhood bacterial meningitis: a multicenter study
Ozden Türel1, Canan Yıldırım2, Yüksel Yılmaz2
1Department of Pediatrics, Section of Pediatric Infectious Diseases, Faculty of Medicine, Marmara University, İstanbul, Turkey.
Insights
Clinical features and sequelae of acute bacterial meningitis (ABM) in children were evaluated. Speech and language problems were the most common sequelae, particularly in younger children.
Area of Science:
- Pediatrics
- Infectious Diseases
- Neurology
Background:
- Acute bacterial meningitis (ABM) is a serious infection in children.
- Understanding its clinical features and long-term consequences is crucial for effective management.
Purpose of the Study:
- To evaluate the clinical characteristics of children diagnosed with ABM.
- To identify and assess the sequelae resulting from ABM in pediatric patients.
Main Methods:
- A multicenter retrospective study involving chart review of children hospitalized with ABM.
- Follow-up assessments included neurological examinations, hearing evaluations, and neurodevelopmental tests.
Main Results:
- 283 children were included; median age was 12 months, with 68.6% males.
- Fever was nearly universal; younger children (<6 months) presented with feeding difficulties, older children (>24 months) with vomiting and meningeal signs.
- 26% experienced major sequelae, most commonly speech/language problems (14.5%); 6 patients had severe disabilities.
- Focal neurologic signs, turbid CSF, and younger age (<24 months) were associated with increased sequelae.
Conclusions:
- Clinical presentation of ABM in children is age-dependent.
- Speech and language impairments are the most frequent long-term sequelae of pediatric ABM.
Objective:
To evaluate clinical features and sequela in children with acute bacterial meningitis (ABM).
Study Design:
Multicenter retrospective study.
Material And Methods:
Study includes retrospective chart review of children hospitalised with ABM at 11 hospitals in İstanbul during 2005. Follow up visits were conducted for neurologic examination, hearing evaluation and neurodevelopmental tests.
Results:
Two hundred and eighty three children were included in the study. Median age was 12 months and 68.6% of patients were male. Almost all patients had fever at presentation (97%). Patients younger than 6 months tended to present with feeding difficulties (84%), while patients older than 24 months were more likely to present with vomitting (93%) and meningeal signs (84%). Seizures were present in 65 (23%) patients. 26% of patients were determined to have at least one major sequela. The most common sequelae were speech or language problems (14.5%). 6 patients were severely disabled because of meningitis. Presence of focal neurologic signs at presentation and turbid cerebrospinal fluid appearance increased sequelae significantly. Childen under 24 months of age developed neurologic sequelae more commonly than older children.
Conclusion:
Symptoms and signs were largely depending on the age of the patient. Speech or language problems were the most common sequelae following meningitis.
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