Factors influencing neurological outcome of children with bacterial meningitis at the emergency department View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-09

AUTHORS

Fatiha Bargui, Irene D’Agostino, Patricia Mariani-Kurkdjian, Corinne Alberti, Catherine Doit, Nathalie Bellier, Laurence Morin, Giuliano Galli Gibertini, Assia Smail, Anna Zanin, Mathie Lorrot, Stéphane Dauger, Mathieu Neve, Albert Faye, Priscilla Armoogum, Antoine Bourrillon, Edouard Bingen, Jean-Christophe Mercier, Stéphane Bonacorsi, Lise E. Nigrovic, Luigi Titomanlio

ABSTRACT

We performed a cohort study of children who survived bacterial meningitis after the neonatal period at a single pediatric center in France over a 10-year period (1995-2004) to identify predictors of death and long-term neurological deficits in children with bacterial meningitis. We performed multivariate regression to determine independent predictors of death and neurologic deficits. We identified 101 children with bacterial meningitis of which 19 died during initial hospitalization. Need for mechanical ventilation [hazard ratio (HR) 11.5, 95 % confidence interval (CI) 2.4-55.5)] and thrombocytopenia defined as a platelet count <150 × 10(9) per liter (HR 0.6, 95 % CI 0.4-0.9) at presentation were associated with death during initial hospitalization. At final assessment, 42 of the 70 survivors had no neurologic deficits identified; 20 had a single deficit, and eight had multiple deficits. A delay in initiation of antibiotics (HR 1.3, 95 % CI 1.1-1.7) and hydrocephalus on computed tomographic scan (HR 2.6, 95 % CI 1.1-6.0) were associated with having one or more long-term neurologic deficits. Identification of children at risk of death or long-term neurologic sequelae may allow therapeutic interventions to be directed to children at the highest risk. More... »

PAGES

1365-1371

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00431-012-1733-5

DOI

http://dx.doi.org/10.1007/s00431-012-1733-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1042545227

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22527566


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