Bacterial meningtis: a five year (2001-2005) retrospective study at University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia

Erleena Nur, H. and Jamaiah, I. and Rohela, M. and Nissapatorn, V. (2008) Bacterial meningtis: a five year (2001-2005) retrospective study at University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia. The Southeast Asian Journal of Tropical Medicine and Public Health, 39 (Sup.1). pp. 73-77. ISSN 0125-1562,

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Abstract

This was a five year (2001-2005) retrospective study of bacterial meningitis in patients admitted to UMMC. A total of 47 cases were analyzed. Chinese was the most common ethnic group (41), followed by Malays (36) and Indians (23). The majority of cases (60) were within the 0-9 year old age group. Within this age group, the majority (93) was less than 5 years old. For all races, males were more commonly infected (62) than females. The most common presenting complaints were fever (83), vomiting (25.5), headache (23), seizures (23), and loss of consciousness (11). On admission, 23 had neck stiffness. Cerebrospinal fluid (CSF) cultures were positive for Streptococcus pneumoniae (23), Haemophilus influenzae (15), Escherichia coli (8.5), Neisseria meningitidis (4) and Streptococcus spp (2). CSF investigations were not done on 47 of cases due to contraindications. The most common complication was subdural effusions (15), followed by cerebral edema (8.5), epilepsy (8.5) and hydrocephalus (6). The antibiotic sensitivity tests done showed that all the three major organisms were 100 sensitive to ceftriaxone. 5. pneumoniae was 100 sensitive to penicillin and H. influenzae was 90 sensitive to penicillin and ampicillin. The mortality rate was 15.

Item Type:	Article
Funders:	UNSPECIFIED
Uncontrolled Keywords:	Infection ; Bacteriosis ; Nervous system diseases ; Asia ; Tropical medicine ; Malaysia ; Bacterial meningitis ;
Subjects:	R Medicine
Divisions:	Faculty of Medicine
Depositing User:	Miss Malisa Diana
Date Deposited:	10 Dec 2012 01:24
Last Modified:	12 Apr 2021 04:08
URI:	http://eprints.um.edu.my/id/eprint/4090

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