Prevalence and Physiological analysis of Acute Bacterial Meningitis infections at care center in Babylon province

Abstract

This study was done on the 142 patients suffering from meningitis infection depending on the physician's diagnosis from January 2009 to June 2009. Most specimens was collected in Babylon maternity and children hospital because the age group in this study was (<1-10 years). Blood and CSF specimens were collected, microbiological and biochemical tests were carried.

obtained results showed that the most common bacterial causing meningitis was Streptococcus pneumoniae (23.94%) followed by Staphylococcus aureus (16.197%), Neisseria meningitides (14.084%), Escherichia coli (14.084%), Haemophilus influenzae type b (Hib) (11.97%), Pseudomonas aeruginosa (6.338%), Staphylococcus spp. (3.521%) and Acinetobacter spp (1.408%), while Negative Culture formed  (8.45%).

Physiological analysis of cerebrospinal fluid in acute bacterial meningitis showed that protein (mg/dl)>500, glucose <40 mg%, CSF/blood glucose <0.4, CRP > 24 mg/L, PMN (%)>80 and white blood cell (cells/mm3) different than normal values indicated of bacterial acute meningitis.

Corresponding factors associated with acute bacterial meningitis like sinusitis, cirrhosis, pneumonia, chronic otitis media, diabetes mellitus and malignancy was reported.

Age and sex distribution of meningitis causes revealed that the main age group of infection was (<1-5 years) and there is no significant differences between male and female infections.

Keywords: Meningitis, Bacteria, Haemophilus influenza, Streptococcus pneumoniae, N. meningitides