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Published on: June 28, 2018
Hospital-associated bacterial meningitis
Abstract:
Eighteen of 349 cases (5.2 per cent) of bacterial meningitis seen between 1949 and 1973 were hospital-associated (developed after admission to the hospital). The patients were adults, usually males, and developed symptoms and signs of meningitis from 2 to 23 days (mean, 10.1 days) after hospital admission. The diagnosis of bacterial meningitis was made from less than 1 day to 15 days (mean, 4.8 days) after the onset of symptoms. Fourteen of the 18 patients had received antibiotics during the week prior to developing meningitis. Nine (50 per cent) had a chronic, noninfection, underlying illness. Diagnostic or surgical procedures involving the neuraxis or adjacent structures preceded the development of meningitis in 10 of the 18 patients (56 per cent). Only 6 of the 18 patients survived their infection. Prompt recognition, diagnosis, and therapy of hospital-associated meningitis in high-risk patients may reduce the significant mortality.
Insights
Hospital-associated bacterial meningitis is a serious risk for adult patients, often developing after invasive procedures. Early diagnosis and treatment are crucial for improving survival rates in these vulnerable individuals.
Area of Science:
- Infectious Diseases
- Hospital Epidemiology
- Clinical Neurology
Background:
- Hospital-associated bacterial meningitis is a rare but severe complication.
- It primarily affects adult patients, often with pre-existing conditions.
Purpose of the Study:
- To analyze the incidence, characteristics, and outcomes of hospital-associated bacterial meningitis.
- To identify risk factors and potential preventive strategies.
Main Methods:
- Retrospective review of bacterial meningitis cases.
- Analysis of patient demographics, clinical presentation, and treatment outcomes.
- Identification of factors preceding meningitis development.
Main Results:
- 5.2% of bacterial meningitis cases were hospital-associated.
- Patients developed meningitis a mean of 10.1 days post-admission, often after neuraxial procedures.
- Mortality was high, with only 6 of 18 patients surviving.
Conclusions:
- Hospital-associated bacterial meningitis carries a significant mortality risk.
- Prompt recognition, diagnosis, and therapy are essential for high-risk patients.
- Identifying and mitigating risk factors can improve patient outcomes.
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