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Incidence of salmonella meningitis in Ludhiana (Punjab)

R Kumar1, B K Gupta, S Khurana

  • 1Dayanand Medical College & Hospital, Ludhiana, Punjab.

Indian Journal of Pathology & Microbiology
|January 1, 1993
PubMed

Insights

Salmonella meningitis is rare but serious, particularly in infants. This study found Salmonella caused 3.43% of bacterial meningitis cases, with S. typhimurium being the most common and drug-resistant strain.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Microbiology

Background:

  • Bacterial meningitis poses a significant threat, especially to young children.
  • Salmonella species are known pathogens, but their role in meningitis requires ongoing surveillance.

Purpose of the Study:

  • To determine the incidence of Salmonella meningitis.
  • To identify the specific Salmonella serotypes involved.
  • To assess antimicrobial resistance patterns of isolated Salmonella strains.

Main Methods:

  • A retrospective analysis of bacterial meningitis cases was conducted.
  • Cerebrospinal fluid (CSF) and blood cultures were examined for Salmonella isolation.
  • Antimicrobial susceptibility testing was performed on isolated strains.

Main Results:

  • Salmonella was identified in 3.43% (8/233) of bacterial meningitis cases.
  • Seven of the eight Salmonella meningitis cases occurred in children under two years old.
  • Salmonella typhimurium (4 cases) was the predominant isolate, exhibiting multi-drug resistance; Salmonella typhi (3 cases) remained sensitive to common antibiotics.

Conclusions:

  • Salmonella meningitis is an infrequent but critical diagnosis, predominantly affecting infants.
  • The emergence of multi-drug resistant Salmonella typhimurium in meningitis cases necessitates careful antibiotic selection.
  • Surveillance of Salmonella meningitis and its antimicrobial resistance profiles is crucial for effective public health management.

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