CLINICAL AND EPIDEMIOLOGICAL CHARACTERISTICS OF ACUTE BACTERIAL MENINGITIS IN ADULTS OF KHMELNYTSKYI REGION

被引:0
|
作者
Pypa, L., V [1 ]
Svistilnik, R., V [1 ]
Romanchuk, K. Yu [1 ]
Gordiichuk, O. O. [1 ]
Smolko, D. G. [1 ]
机构
[1] Natl Pyrogov Mem Med Univ, Vinnytsya, Ukraine
来源
WORLD OF MEDICINE AND BIOLOGY | 2020年 / 73卷 / 03期
关键词
bacterial meningitis; epidemiology; etiology; adults;
D O I
10.26724/2079-8334-2020-3-73-81-87
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
We analyzed 123 cases of.cute bacterial meningitis, where 74 cases were in men and 49 cases - in women. 93.5% of cases began with fever, headache (86.2%), vomiting (69.9%), epileptic seizures (1.6%), altered level of consciousness (17.8%) and meningeal syndrome (80,2%). The etiological factor was established in 20.3% of patients. In 41.4% of patients neurological complications were observed. The terminal end was observed in 7.3% of patients. The main causative agent of.cute bacterial meningitis was S. pneumoniae (56.0%), the second place was taken by N. meningitidis (36.0%), the third one was divided between S. aureus and L. monocytogenes (4.0%). Brain edema (90.2%), paresis of extremities (11.7%) and epileptic seizures (7.8%) were frequent complications. The prevalence of.cute bacterial meningitis was 0.86 per 100 thousand population per year in the ratio between men and women of 1.5:1 and the total annual mortality of 0.06 per 100 thousand population.
引用
收藏
页码:81 / 87
页数:8
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