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Published on: October 29, 2014
Acute bacterial meningitis in a developing country: diagnosis related mortality among paediatric patients
K K Imananagha1, E J Peters, E E Philip-Ephraim
1Department of Medicine, University of Calabar Teaching Hospital, Nigeria.
Objectives:
To evaluate the effect of late diagnosis and other factors on outcome of paediatric bacterial meningitis (BM) and recommend appropriate intervention.
Design:
Case series.
Setting:
University of Calabar Teaching Hospital, Calabar, Nigeria.
Subjects:
62 consecutive BM patients aged two months to 16 years admitted between 1991 and 1994.
Main Outcome Measures:
Mortality rate.
Results:
Diagnostic difficulties experienced in 58% of cases and other factors resulted in delayed diagnosis and high mortality (20 to 47%).
Conclusion:
Only elimination of the identified inadequacies in management can significantly reduce the BM-related high mortality in developing countries.
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