Document Detail

Long-term Outcomes of Group B Streptococcal Meningitis.
MedLine Citation:
PMID:  22689869     Owner:  NLM     Status:  Publisher    
OBJECTIVE:Group B Streptococcus (GBS) is the leading cause of meningitis in young infants. We evaluated long-term outcomes among GBS meningitis survivors. We hypothesized that despite reduced mortality, GBS meningitis would remain a significant cause of morbidity among GBS survivors.METHODS:Ninety term and near-term infants diagnosed with GBS meningitis from 1998 through 2006 were identified from 2 children's hospitals. Five died acutely, and 5 died at 6 months to 3 years of age. Forty-three survivors (54%; mean age 6.8, range 3-12 years) were consented for evaluation and underwent physical and neurologic examinations, hearing and vision screening, and standardized developmental assessments. Associations among presenting features, laboratory parameters, neurologic status at hospital discharge, and later developmental outcomes were explored by using descriptive statistics and logistic regression.RESULTS:Twenty-four of 43 (56%) children evaluated demonstrated age-appropriate development, 11 (25%) had mild-to-moderate impairment, and 8 (19%) had severe impairment. Admission features associated with death after hospital discharge or severe impairment included lethargy (P = .003), respiratory distress (P = .022), coma or semicoma (P = .022), seizures (P = .015), bulging fontanel (P = .034), leukopenia (P = .026), acidosis (P = .024), cerebrospinal fluid protein >300 mg/dL (P = .006), cerebrospinal fluid glucose <20 mg/dL (P = .026), and need for ventilator (P = .002) or pressor support (P < .001). Features at discharge associated with late death or severe impairment included failed hearing screen (P = .004), abnormal neurologic examination (P < .001), and abnormal end of therapy brain imaging (P = .038).CONCLUSIONS:Survivors of GBS meningitis continue to have substantial long-term morbidity, highlighting the need for ongoing developmental follow-up and prevention strategies such as maternal immunization.
Romina Libster; Kathryn M Edwards; Fatma Levent; Morven S Edwards; Marcia A Rench; Luis A Castagnini; Timothy Cooper; Robert C Sparks; Carol J Baker; Prachi E Shah
Related Documents :
23852529 - Cortical mapping of 3d optical topography in infants.
22822109 - The first reported case of non-compacted cardiomyopathy in a preterm infant with ebstei...
16430489 - Coat condition, housing condition and measurement of faecal cortisol metabolites--a non...
22897119 - From head to heel: a new and simple approach to the systematic care of premature infant...
23911689 - The covariation of acoustic features of infant cries and autonomic state.
25118269 - Genetic variants associated with severe retinopathy of prematurity in extremely low bir...
23628359 - Object use affects motor planning in infant prehension.
20147959 - Mortality in infants with congenital diaphragmatic hernia: a study of the united states...
2587409 - Time-trends in necropsy prevalence and birth prevalence of lung hypoplasia.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-11
Journal Detail:
Title:  Pediatrics     Volume:  -     ISSN:  1098-4275     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
aVanderbilt Vaccine Research Program, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee;
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Maternal Cigarette Smoking and the Development of Necrotizing Enterocolitis.
Next Document:  RCT of a mentoring and skills group program: placement and permanency outcomes for foster youth.