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The Journal of the Japanese Society for Clinical Microbiology |
Biblioraphy Information
| ArticleTitle |
Clinical and Bacteriological Study of 40 Children with Bacterial Meningitis |
| Language |
J |
| AuthorList |
Shinobu Ikegami1), Seiko Itomi2), Kazumi Naramoto1), Hideki Nishiyama1), Itsuka Murakami1), Saori Asami1), Hideo Shiroyama1), Mariko Goto1), Norihiro Yuasa1) |
| Affiliation |
1) Clinical Laboratory, Japanese Red Cross Nagoya Daiichi Hospital
2) Department of Pediatrics, Japanese Red Cross Nagoya Daiichi Hospital |
| Publication |
J.J.C.M.: 20 (2), 118-124, 2010 |
| Received |
April 24, 2009 |
| Accepted |
April 6, 2010 |
| Abstract |
Background and objective: Pediatric bacterial meningitis is a serious infectious disease for children as neurological morbidity and mortality. The aim of this study is to make clear recent clinical and bacteriological characteristics of this disease.
Patients and Methods: Between 1995 and 2007, 40 children with bacterial meningitis were investigated. Clinical and bacteriological data were assessed.
Results: Haemophilus influenzae (Hi; n=22) was the most common pathogen, followed by group B streptococci (n=6), Streptococcus pneumoniae (n=6), Escherichia coli (n=2) and others (n=4). Meningitis caused by Hi had been increasing since 2002, occurred more often in autumn and winter, and prevailed in children aged between 4 months and 4 years. Intracranial complications defined as subdural effusion or abscess were observed in 17 cases (43%). These complications had been increasing, prevalent in infants aged between 4 and 11 months, and boy. They occurred more frequently in meningitis cased by ampicillin-resistant Hi.
Conclusion: Pediatric bacterial meningitis caused by Hi and that associated with intracranial complications had been increasing recently. |
| Keywords |
Haemophilus influenzae, BLNAR |
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