Pediatric Meningitis in the Western Cape Province of South Africa
During the 9 years 1985–1993 a prospective survey of all cases of meningitis in children
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Veröffentlicht in: | Journal of tropical pediatrics (1980) 1996-10, Vol.42 (5), p.256-261 |
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container_title | Journal of tropical pediatrics (1980) |
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creator | Donald, P. R. Cotton, M. F. Hendricks, M. K. Schaaf, H. S. de Villiers, Jane N. Willemse, T. E. |
description | During the 9 years 1985–1993 a prospective survey of all cases of meningitis in children |
doi_str_mv | 10.1093/tropej/42.5.256 |
format | Article |
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R. ; Cotton, M. F. ; Hendricks, M. K. ; Schaaf, H. S. ; de Villiers, Jane N. ; Willemse, T. E.</creator><creatorcontrib>Donald, P. R. ; Cotton, M. F. ; Hendricks, M. K. ; Schaaf, H. S. ; de Villiers, Jane N. ; Willemse, T. E.</creatorcontrib><description>During the 9 years 1985–1993 a prospective survey of all cases of meningitis in children <13 years of age presenting to our hospital in the Western Cape Province of South Africa was carried out. Two-thousand-nine-hundred-and-twenty cases of meningitis were identified. The commonest form of bacterial meningitis was tuberculous meningitis (TBM) diagnosed in 282 children (mean age 2.94 years). N. meningitidis identified in 220 children (mean age 2.87 years), Haemophilus influenzae in 156 children (mean age 1.15 years) and S. pneumoniae in 106 children (mean age 2.14) were the next commonest causes of bacterial meningitis diagnosed. One-hundred-and-eighteen cases of bacterial meningitis were confirmed in infants <1 month of age and the commonest bacteria identified were group B betahaemolytic Streptococcus in 27, E. coli in 21, Klebsiella species in 11, and Candida species in 15 neonates. The emergence of TBM as the predominant cause of bacterial meningitis in childhood at our hospital is probably a reflection of the worsening tuberculosis situation in the Western Cape Province of South Africa.</description><identifier>ISSN: 0142-6338</identifier><identifier>EISSN: 1465-3664</identifier><identifier>DOI: 10.1093/tropej/42.5.256</identifier><identifier>PMID: 8936954</identifier><identifier>CODEN: JTRPAO</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adolescent ; Bacterial diseases ; Bacterial diseases of the nervous system. Bacterial myositis ; Biological and medical sciences ; Child ; Child, Preschool ; Data Collection ; Developing Countries ; Human bacterial diseases ; Humans ; Incidence ; Infectious diseases ; Medical sciences ; Meningitis, Bacterial - epidemiology ; Meningitis, Bacterial - microbiology ; Prospective Studies ; Risk Factors ; South Africa - epidemiology ; Survival Rate ; Tropical medicine</subject><ispartof>Journal of tropical pediatrics (1980), 1996-10, Vol.42 (5), p.256-261</ispartof><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-11f06bce5f375e16c7a4c905a521483ff7eba027e8b4378ab4589f234840eaa93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3256132$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8936954$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Donald, P. R.</creatorcontrib><creatorcontrib>Cotton, M. F.</creatorcontrib><creatorcontrib>Hendricks, M. K.</creatorcontrib><creatorcontrib>Schaaf, H. S.</creatorcontrib><creatorcontrib>de Villiers, Jane N.</creatorcontrib><creatorcontrib>Willemse, T. E.</creatorcontrib><title>Pediatric Meningitis in the Western Cape Province of South Africa</title><title>Journal of tropical pediatrics (1980)</title><addtitle>J Trop Pediatr</addtitle><description>During the 9 years 1985–1993 a prospective survey of all cases of meningitis in children <13 years of age presenting to our hospital in the Western Cape Province of South Africa was carried out. Two-thousand-nine-hundred-and-twenty cases of meningitis were identified. The commonest form of bacterial meningitis was tuberculous meningitis (TBM) diagnosed in 282 children (mean age 2.94 years). N. meningitidis identified in 220 children (mean age 2.87 years), Haemophilus influenzae in 156 children (mean age 1.15 years) and S. pneumoniae in 106 children (mean age 2.14) were the next commonest causes of bacterial meningitis diagnosed. One-hundred-and-eighteen cases of bacterial meningitis were confirmed in infants <1 month of age and the commonest bacteria identified were group B betahaemolytic Streptococcus in 27, E. coli in 21, Klebsiella species in 11, and Candida species in 15 neonates. The emergence of TBM as the predominant cause of bacterial meningitis in childhood at our hospital is probably a reflection of the worsening tuberculosis situation in the Western Cape Province of South Africa.</description><subject>Adolescent</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the nervous system. Bacterial myositis</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Data Collection</subject><subject>Developing Countries</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Meningitis, Bacterial - epidemiology</subject><subject>Meningitis, Bacterial - microbiology</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>South Africa - epidemiology</subject><subject>Survival Rate</subject><subject>Tropical medicine</subject><issn>0142-6338</issn><issn>1465-3664</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEtLAzEURoMoWh9rV0IW4m7avCezLPVtxYKK4iZk4o1G25maTEX_vZGWru7iO_fj3oPQISV9Sio-6GI7h4-BYH3ZZ1JtoB4VShZcKbGJeoQKVijO9Q7aTemDEMK0ENtoW1dcVVL00HACr8F2MTh8C01o3kIXEg4N7t4BP0HqIDZ4ZOeAJ7H9Do0D3Hp83y66dzz0ec3uoy1vpwkOVnMPPZ6fPYwui_HdxdVoOC4cl1VXUOqJqh1Iz0sJVLnSClcRaSWjQnPvS6gtYSXoWvBS21pIXXnGhRYErK34HjpZ9s5j-7XIl5lZSA6mU9tAu0im1FIxVskMDpagi21KEbyZxzCz8ddQYv6lmaU0I5iRJkvLG0er6kU9g9c1v7KU8-NVbpOzUx9t40JaYzx3UM4yViyxkLX9rGMbP40q89fm8vnFnI4mlJDribnhf0mahAY</recordid><startdate>19961001</startdate><enddate>19961001</enddate><creator>Donald, P. R.</creator><creator>Cotton, M. F.</creator><creator>Hendricks, M. K.</creator><creator>Schaaf, H. S.</creator><creator>de Villiers, Jane N.</creator><creator>Willemse, T. E.</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19961001</creationdate><title>Pediatric Meningitis in the Western Cape Province of South Africa</title><author>Donald, P. R. ; Cotton, M. F. ; Hendricks, M. K. ; Schaaf, H. S. ; de Villiers, Jane N. ; Willemse, T. E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-11f06bce5f375e16c7a4c905a521483ff7eba027e8b4378ab4589f234840eaa93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the nervous system. Bacterial myositis</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Data Collection</topic><topic>Developing Countries</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Meningitis, Bacterial - epidemiology</topic><topic>Meningitis, Bacterial - microbiology</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>South Africa - epidemiology</topic><topic>Survival Rate</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Donald, P. R.</creatorcontrib><creatorcontrib>Cotton, M. F.</creatorcontrib><creatorcontrib>Hendricks, M. K.</creatorcontrib><creatorcontrib>Schaaf, H. S.</creatorcontrib><creatorcontrib>de Villiers, Jane N.</creatorcontrib><creatorcontrib>Willemse, T. E.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of tropical pediatrics (1980)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Donald, P. R.</au><au>Cotton, M. F.</au><au>Hendricks, M. K.</au><au>Schaaf, H. S.</au><au>de Villiers, Jane N.</au><au>Willemse, T. E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pediatric Meningitis in the Western Cape Province of South Africa</atitle><jtitle>Journal of tropical pediatrics (1980)</jtitle><addtitle>J Trop Pediatr</addtitle><date>1996-10-01</date><risdate>1996</risdate><volume>42</volume><issue>5</issue><spage>256</spage><epage>261</epage><pages>256-261</pages><issn>0142-6338</issn><eissn>1465-3664</eissn><coden>JTRPAO</coden><abstract>During the 9 years 1985–1993 a prospective survey of all cases of meningitis in children <13 years of age presenting to our hospital in the Western Cape Province of South Africa was carried out. Two-thousand-nine-hundred-and-twenty cases of meningitis were identified. The commonest form of bacterial meningitis was tuberculous meningitis (TBM) diagnosed in 282 children (mean age 2.94 years). N. meningitidis identified in 220 children (mean age 2.87 years), Haemophilus influenzae in 156 children (mean age 1.15 years) and S. pneumoniae in 106 children (mean age 2.14) were the next commonest causes of bacterial meningitis diagnosed. One-hundred-and-eighteen cases of bacterial meningitis were confirmed in infants <1 month of age and the commonest bacteria identified were group B betahaemolytic Streptococcus in 27, E. coli in 21, Klebsiella species in 11, and Candida species in 15 neonates. The emergence of TBM as the predominant cause of bacterial meningitis in childhood at our hospital is probably a reflection of the worsening tuberculosis situation in the Western Cape Province of South Africa.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>8936954</pmid><doi>10.1093/tropej/42.5.256</doi><tpages>6</tpages></addata></record> |
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subjects | Adolescent Bacterial diseases Bacterial diseases of the nervous system. Bacterial myositis Biological and medical sciences Child Child, Preschool Data Collection Developing Countries Human bacterial diseases Humans Incidence Infectious diseases Medical sciences Meningitis, Bacterial - epidemiology Meningitis, Bacterial - microbiology Prospective Studies Risk Factors South Africa - epidemiology Survival Rate Tropical medicine |
title | Pediatric Meningitis in the Western Cape Province of South Africa |
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