EPIDEMIOLOGICAL STUDY OF MENINGITIS CASES IN EMBABA FEVER HOSPITAL

Mohammed Khairy Al Nagar MD, Heba Mohammed Abdella MD, Amal Tohamy Abdel Moez MD, Mohammed Hamdy*

ABSTRACT

Objectives and background: Meningitis can be life- threatening because of the inflammation's proximity to the brain and spinal cord; therefore the condition is classified as a medical emergency. Aim of this work is to Study the demographic, clinicoetiological and laboratory characteristics of acute meningitis in patients attending Embaba fever hospital. Patients and methods: We studied the data of 300 patients suspected to have meningitis and admitted to Embaba fever hospital over a period of one year from November 2015 to October 2016. Clinical assessment: including full medical history and complete clinical examination for all systems espicially nervous system. Cerebrospinal fluid analysis (CSF): Physical examination, Microscopic examination, Chemical examination, Bacteriological examination done for all patients studied. Results: Meningitis is more common in male 61.3% more than female38.7%, and rural area more than urban (57.3% vs 42.7%). The highest incidence in Spring and Summer. S.pneumoniae has been the most frequent isolated organism causing bacterial meningitis56.7%. Conclusion: We found that the most affected age category was patients below 2 years. The most prevalent organism was strept. pneumoniae followed by Staph. Aureus, then MRSA. Complications were reported in 31% of the studied patients.

Keywords: Meningitis clinicoetiological especially Aureus, then MRSA.