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
Hauptverfasser: Donald, P. R., Cotton, M. F., Hendricks, M. K., Schaaf, H. S., de Villiers, Jane N., Willemse, T. E.
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container_end_page 261
container_issue 5
container_start_page 256
container_title Journal of tropical pediatrics (1980)
container_volume 42
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
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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 &lt;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 &lt;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. 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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 &lt;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 &lt;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. 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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 &lt;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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source MEDLINE; Oxford Journals
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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