Acute Bacterial Meningitis: Causative Organisms, Clinical Characteristics and Prognosis.
- Author:
Dong Chul PARK
1
;
Il Saing CHOI
;
Ji Hoe HEO
;
Kyoung Won LEE
Author Information
1. Department of Neurology, Yonsei University College of Medicine.
- Publication Type:Original Article
- Keywords:
Meningitis/Bacterial;
Epidemiology;
Cross infection
- MeSH:
Adult;
Causality;
Child;
Cross Infection;
Diagnosis;
Epidemiology;
Humans;
Korea;
Medical Records;
Meningitis;
Meningitis, Bacterial*;
Meningitis, Pneumococcal;
Mortality;
Otitis Media;
Prognosis*;
Retrospective Studies;
Seizures
- From:Journal of the Korean Neurological Association
2000;18(5):556-561
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: There is a lack of basic epidemiological information on bacterial meningitis in children and adults in Korea. Therefore, more research is needed to investigate the causative organisms, clinical manifestations, and prognosis in Korean children and adults. METHODS: We analyzed retrospectively 148 medical records with final diagnosis of bacterial meningitis. The diagnosis of bacterial meningitis was based on culture-positive cases. RESULTS: Out of a total 148 patients, 71 were children and 77 were adults. In the children with community acquired meningitis, infection-related meningitis was the most common predisposing factor (23.3%). In adults, otitis media was the most common (21.7%). There were more frequent seizures in children than adults (38.1%, 17.1%, p<0.05). In community-acquired meningitis, Streptococcus pneumoniae was the most common type. However, in nosocomial meningitis, gram-negative bacilli was the most common type. The prognostic factors associated with mortality rate in adults were old age (>50 years), seizure (p<0.05), and mental change (p<0.001). CONCLUSIONS: Although a causative organism is not documented, we believe that our study will help to properly treat acute bacterial meningitis in children and adults regardless if it is community acquired or nosomial.
