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[Neonatal meningitis (personal contribution)]

A Rossolini, A Barberi, C Cellesi

    Annali Sclavo; Rivista Di Microbiologia E Di Immunologia
    |May 1, 1980
    PubMed
    Summary
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    Newborn meningitis treatment with ampicillin-CAF showed high survival rates for both Gram-positive (77%) and Gram-negative (83%) bacterial infections. However, sequelae were noted in Gram-negative cases resistant to CAF.

    Area of Science:

    • Neonatal infectious diseases
    • Bacteriology
    • Clinical microbiology

    Context:

    • Newborn meningitis poses a significant threat to infant health, with diverse etiological agents and varying clinical outcomes.
    • Understanding the epidemiology and treatment efficacy of bacterial meningitis in neonates is crucial for improving patient survival and reducing long-term complications.

    Purpose:

    • To analyze the etiology, treatment, and outcomes of 15 cases of neonatal meningitis.
    • To evaluate the effectiveness of ampicillin-CAF treatment against different bacterial pathogens in neonatal meningitis.
    • To identify risk factors for sequelae in neonatal meningitis survivors.

    Summary:

    • A review of 15 neonatal meningitis cases revealed Gram-positive bacteria (60%) and Gram-negative bacteria (40%) as primary etiological agents, with Listeria monocytogenes, Streptococcus agalactiae, and E. coli being most common.

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  • All neonates received ampicillin-CAF treatment, resulting in survival rates of 77% for Gram-positive and 83% for Gram-negative meningitis.
  • Sequelae were exclusively observed in Gram-negative meningitis cases caused by CAF-resistant strains, highlighting treatment resistance as a critical factor.

    • Impact:

    • This study underscores the importance of prompt diagnosis and appropriate antibiotic selection in managing neonatal meningitis.
    • The findings emphasize the need for continued surveillance of antibiotic resistance patterns in neonatal pathogens.
    • Effective treatment strategies, considering etiological agents and their resistance profiles, are vital for improving outcomes and minimizing long-term sequelae in affected infants.