Study of Sociodemographic Characteristics, Clinical Profile and Pattern of Pathogens of Meningitis in Children Admitted in A Tertiary Level Medical College Hospital

K. Nahar, Md. Shah Alam, M. Chowdhury, N. Nahar
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Abstract

Background: CNS Infection are likely to arouse tremendous anxiety in both the physician and the patients. It is one of the most potentially serious infections occurring in children and important cause of mortality and morbidity in worldwide. Laboratory surveillance of pathogen is crucial in formulating the empirical treatment guidelines. To evaluate sociodemographic characteristics, clinical profile and pattern of pathogens of meningitis in children. Materials and methods: A descriptive study was carried out in paediatric Inpatient Department of Pediatric CMCH (Chittagong Medical College Hospital) Chattogram during the period of May 2013 to April 2014 where History, clinical examination and CSF sample were obtained from 40 patients of suspected meningitis. Diagnosis was based on the clinical presentation and CSF analysis.   Results: In this study, out of 40 patient, 25 patients were diagnosed as bacterial meningitis and 15 patient were diagnosed as aseptic meningitis based on clinical features and CSF analysis. 20% Culture positive bacterial menigitis was found, S pneumonae was found the leading pathogen. Overall, mortality rate was 2.5 %. Conclusion: Bacterial meningitis is a medical emergency. Making an early diagnosis and prompt treatment are lifesaving. For Starting early empirical treatment of meningitis, knowledge about the local pathogen is necessary. JCMCTA 2022 ; 33 (1) :77-81
某三级医学院附属医院住院儿童脑膜炎的社会人口学特征、临床特征及病原菌类型研究
背景:中枢神经系统感染可能引起医生和患者极大的焦虑。它是发生在儿童中的最严重的潜在感染之一,也是世界范围内死亡率和发病率的重要原因。病原体的实验室监测对于制定经验性治疗指南至关重要。评估儿童脑膜炎的社会人口学特征、临床特征和病原体类型。材料与方法:对2013年5月至2014年4月在吉大港医学院附属儿科医院儿科住院部进行描述性研究,收集40例疑似脑膜炎患者的病史、临床检查及脑脊液样本。诊断依据临床表现和脑脊液分析。结果:本研究40例患者中,根据临床特征及脑脊液分析,25例诊断为细菌性脑膜炎,15例诊断为无菌性脑膜炎。培养阳性细菌性脑膜炎占20%,主要病原体为肺炎链球菌。总体死亡率为2.5%。结论:细菌性脑膜炎是一种急症。早期诊断和及时治疗可以挽救生命。对于脑膜炎的早期经验性治疗,了解当地病原体是必要的。Jcmcta 2022;33 (1):77-81
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