Culture- and antigen-negative meningitis in Guatemalan children Meningitis negativa a pruebas antigénicas y de cultivo en niños guatemaltecos
OBJECTIVE: To compare children with confirmed bacterial meningitis (CBM) and those with culture- and latex-negative meningitis (CLN). METHODS: Children 1 to 59 months of age admitted to three major referral hospitals in Guatemala City with clinical signs compatible with bacterial infections were eva...
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Pan American Health Organization
2008
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ftdoajarticles:oai:doaj.org/article:b65fe8a6ab0f400198b7b0f27050d166 2023-05-15T15:18:06+02:00 Culture- and antigen-negative meningitis in Guatemalan children Meningitis negativa a pruebas antigénicas y de cultivo en niños guatemaltecos Erica L. Dueger Edwin J. Asturias Neal A. Halsey 2008-10-01T00:00:00Z https://doaj.org/article/b65fe8a6ab0f400198b7b0f27050d166 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892008001000004 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/b65fe8a6ab0f400198b7b0f27050d166 Revista Panamericana de Salud Pública, Vol 24, Iss 4, Pp 248-255 (2008) Meningitis viral meningitis bacteriana meningitis aséptica Guatemala Viral meningitis bacterial meningitis aseptic meningitis Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2008 ftdoajarticles 2022-12-31T14:58:42Z OBJECTIVE: To compare children with confirmed bacterial meningitis (CBM) and those with culture- and latex-negative meningitis (CLN). METHODS: Children 1 to 59 months of age admitted to three major referral hospitals in Guatemala City with clinical signs compatible with bacterial infections were evaluated prospectively between 1 October 1996 and 31 December 2005. Bacterial cultures and latex agglutination antigen testing were performed on samples of cerebrospinal fluid (CSF). RESULTS: The case-fatality rate was significantly higher in the 493 children with CBM than in the 528 children with CLN (27.6% and 14.9%, respectively; P < 0.001). Children with CBM were less likely to have received antibiotics and more likely to have seizures, shock, or coma on admission than children with CLN. Among the 182 CBM survivors and 205 CLN survivors studied between October 2000 and December 2005, clinically observed sequelae were present at discharge in a higher percentage of the CBM than of the CLN group (78.6% and 46.8%, respectively; P < 0.0001). CSF glucose < 10 mg/dL, peripheral neutrophils < 2 000 cells/mm³, coma or shock at admission, and concurrent sepsis or pneumonia were risk factors for mortality in children with CBM; only coma or shock at admission predicted mortality in children with CLN. CONCLUSIONS: The high case-fatality and sequelae rates suggest that many children with CLN may have had bacterial meningitis. Estimates based on confirmed meningitis alone underestimate the true vaccine-preventable disease burden. Additional studies to determine etiologies of CLN in this population are indicated. OBJETIVO: Comparar los casos infantiles de meningitis bacteriana confirmada (MBC) y meningitis negativa a pruebas de látex y de cultivo (MNLC). MÉTODOS: Se evaluaron los niños de 1 a 59 meses de edad ingresados en tres grandes hospitales de referencia de la Ciudad de Guatemala entre el 1 de octubre de 1996 y el 31 de diciembre de 2005 con signos clínicos de infección bacteriana. Se realizaron cultivos ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Referencia |
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English Spanish Portuguese |
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Meningitis viral meningitis bacteriana meningitis aséptica Guatemala Viral meningitis bacterial meningitis aseptic meningitis Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Meningitis viral meningitis bacteriana meningitis aséptica Guatemala Viral meningitis bacterial meningitis aseptic meningitis Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Erica L. Dueger Edwin J. Asturias Neal A. Halsey Culture- and antigen-negative meningitis in Guatemalan children Meningitis negativa a pruebas antigénicas y de cultivo en niños guatemaltecos |
topic_facet |
Meningitis viral meningitis bacteriana meningitis aséptica Guatemala Viral meningitis bacterial meningitis aseptic meningitis Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To compare children with confirmed bacterial meningitis (CBM) and those with culture- and latex-negative meningitis (CLN). METHODS: Children 1 to 59 months of age admitted to three major referral hospitals in Guatemala City with clinical signs compatible with bacterial infections were evaluated prospectively between 1 October 1996 and 31 December 2005. Bacterial cultures and latex agglutination antigen testing were performed on samples of cerebrospinal fluid (CSF). RESULTS: The case-fatality rate was significantly higher in the 493 children with CBM than in the 528 children with CLN (27.6% and 14.9%, respectively; P < 0.001). Children with CBM were less likely to have received antibiotics and more likely to have seizures, shock, or coma on admission than children with CLN. Among the 182 CBM survivors and 205 CLN survivors studied between October 2000 and December 2005, clinically observed sequelae were present at discharge in a higher percentage of the CBM than of the CLN group (78.6% and 46.8%, respectively; P < 0.0001). CSF glucose < 10 mg/dL, peripheral neutrophils < 2 000 cells/mm³, coma or shock at admission, and concurrent sepsis or pneumonia were risk factors for mortality in children with CBM; only coma or shock at admission predicted mortality in children with CLN. CONCLUSIONS: The high case-fatality and sequelae rates suggest that many children with CLN may have had bacterial meningitis. Estimates based on confirmed meningitis alone underestimate the true vaccine-preventable disease burden. Additional studies to determine etiologies of CLN in this population are indicated. OBJETIVO: Comparar los casos infantiles de meningitis bacteriana confirmada (MBC) y meningitis negativa a pruebas de látex y de cultivo (MNLC). MÉTODOS: Se evaluaron los niños de 1 a 59 meses de edad ingresados en tres grandes hospitales de referencia de la Ciudad de Guatemala entre el 1 de octubre de 1996 y el 31 de diciembre de 2005 con signos clínicos de infección bacteriana. Se realizaron cultivos ... |
format |
Article in Journal/Newspaper |
author |
Erica L. Dueger Edwin J. Asturias Neal A. Halsey |
author_facet |
Erica L. Dueger Edwin J. Asturias Neal A. Halsey |
author_sort |
Erica L. Dueger |
title |
Culture- and antigen-negative meningitis in Guatemalan children Meningitis negativa a pruebas antigénicas y de cultivo en niños guatemaltecos |
title_short |
Culture- and antigen-negative meningitis in Guatemalan children Meningitis negativa a pruebas antigénicas y de cultivo en niños guatemaltecos |
title_full |
Culture- and antigen-negative meningitis in Guatemalan children Meningitis negativa a pruebas antigénicas y de cultivo en niños guatemaltecos |
title_fullStr |
Culture- and antigen-negative meningitis in Guatemalan children Meningitis negativa a pruebas antigénicas y de cultivo en niños guatemaltecos |
title_full_unstemmed |
Culture- and antigen-negative meningitis in Guatemalan children Meningitis negativa a pruebas antigénicas y de cultivo en niños guatemaltecos |
title_sort |
culture- and antigen-negative meningitis in guatemalan children meningitis negativa a pruebas antigénicas y de cultivo en niños guatemaltecos |
publisher |
Pan American Health Organization |
publishDate |
2008 |
url |
https://doaj.org/article/b65fe8a6ab0f400198b7b0f27050d166 |
geographic |
Arctic Referencia |
geographic_facet |
Arctic Referencia |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 24, Iss 4, Pp 248-255 (2008) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892008001000004 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/b65fe8a6ab0f400198b7b0f27050d166 |
_version_ |
1766348334125023232 |