Document Detail

Acute bacterial meningitis in adults: a 20 year review.
MedLine Citation:
PMID:  15916086     Owner:  NLM     Status:  MEDLINE    
During the period Jaunuary 1982 to December 2001 (20 years), a retrospective study in patients 15 years or older with acute bacterial meningitis who were admitted to Songklanagarind Hospital was carried out. There were 180 episodes in 161 cases of acute bacterial meningitis with an increasing incidence of disease during the study. Fifty-nine percent of episodes were nosocomial infection. The classic triad of acute bacterial meningitis was found in 54% of cases. The most common pathogen was Streptococcus pneumoniae (11.7%) in which 19% of these strain were penicillin-resistant. Gram-negative bacilli were common organisms in nosocomial meningitis (32.1%). Twenty-five patients died from meningitis with a mortality rate of 15.5%. Risk factors for mortality older age were than 60 years, HIV infection, impaired mental status and shock.
Bodin Khwannimit; Pantip Chayakul; Alan Geater
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Southeast Asian journal of tropical medicine and public health     Volume:  35     ISSN:  0125-1562     ISO Abbreviation:  Southeast Asian J. Trop. Med. Public Health     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2005-05-26     Completed Date:  2005-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0266303     Medline TA:  Southeast Asian J Trop Med Public Health     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  886-92     Citation Subset:  IM    
Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
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MeSH Terms
Aged, 80 and over
Community-Acquired Infections / epidemiology*,  mortality
Cross Infection / epidemiology*
Logistic Models
Meningitis, Bacterial / etiology*,  microbiology,  mortality
Middle Aged
Retrospective Studies
Risk Factors
Streptococcus pneumoniae / isolation & purification,  pathogenicity
Thailand / epidemiology

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