THE PROGNOSTIC FACTORS OF COMMUNITY-ACQUIRED BACTERIAL MENINGITIS IN ADULTS

Hassan Alaoui*, Mohamed Bahi, Ayoub Belhadj, Issam Serghini, Younes Aissaoui, Youssef Qamouss, Rachid Seddiki and Mohamed Boughalem

ABSTRACT

Backgrund and aims: Bacterial meningitis is a medical emergency whose prognosis is closely linked to the early management of the disease. The aim of our study is to determine the prognostic factors of community-acquired bacterial meningitis in adults in our context. Material and methods: This is a retrospective study that included all patients admitted for community-acquired bacterial meningitis. To study the prognostic factors, the patient sample was divided into two groups: a group of survivors and a group of the dead, and for each patient, all the clinical, paraclinical and therapeutic data were recorded. Results: During the study period, we collected 48 patients, and we identified as prognostic factors; age, Glascow Coma Scale score, thrombocytopenia, meningoencephalitis, mechanical ventilation, time to antibiotic therapy, and vasopressor use. Conclusion: In order to improve the prognosis of community-acquired bacterial meningitis in our context, we must especially optimize the time of care, improving our health system towards good emergency management.

Keywords: Community-acquired bacterial meningitis, adult, prognostic factors.