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Related Experiment Videos

Bacterial meningitis--ten years experience

P G Davey, J K Cruikshank, I C McManus

    The Journal of Hygiene
    |June 1, 1982
    PubMed
    Summary

    This study analyzed 635 bacterial meningitis cases, finding meningococcus common in young people and pneumococcus in older adults. Single antibiotic therapy is effective, and intrathecal antibiotics are unnecessary for common bacterial meningitis types.

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    Area of Science:

    • Medicine
    • Infectious Diseases
    • Epidemiology

    Background:

    • Acute bacterial meningitis remains a significant public health concern, particularly in children and young adults.
    • Understanding the causative organisms and their epidemiological patterns is crucial for effective treatment and prevention strategies.

    Purpose of the Study:

    • To analyze the epidemiology of acute bacterial meningitis in the Birmingham Area Health Authority between 1968 and 1977.
    • To compare the characteristics and outcomes of bacterial meningitis cases treated at a regional infectious diseases unit.
    • To evaluate the efficacy of different treatment regimens, including the necessity of intrathecal antibiotics.

    Main Methods:

    • Retrospective analysis of 635 bacterial meningitis cases admitted to hospitals in Birmingham.

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  • Detailed review of 270 cases treated at East Birmingham Hospital (E.B.H.), including symptoms, signs, laboratory data, and clinical course.
  • Comparison of causative organisms and mortality rates across different age groups and bacterial types.

    • Main Results:

    • Meningococcus was the most common cause in children and young adults; Streptococcus pneumoniae predominated in those over 25.
    • Haemophilus influenzae was a less frequent cause, particularly in school-aged children and adults.
    • Mortality rates were 30% for pneumococcal meningitis, 3.5% for meningococcal, and 7.7% for Haemophilus meningitis.
    • Single antibiotic therapy was found sufficient for most bacterial meningitis cases.

    Conclusions:

    • Treatment of bacterial meningitis can often be managed effectively with a single antibiotic agent.
    • Intrathecal antibiotic administration is not necessary for pyogenic meningitis caused by common pathogens like meningococci, pneumococci, or H. influenzae.