CLINICAL AND EPIDEMIOLOGICAL CHARACTERISTICS OF ACUTE BACTERIAL MENINGITIS IN ADULTS OF KHMELNYTSKYI REGION

Authors:

Abstract:

We analyzed 123 cases of аcute bacterial meningitis, where 74 cases were in men and 49 cases - in women. 93.5% of cases began with fever, headache (86.2%), vomiting (69.9%), epileptic seizures (1.6%), altered level of consciousness (17.8%) and meningeal syndrome (80,2%). The etiological factor was established in 20.3% of patients. In 41.4% of patients neurological complications were observed. The terminal end was observed in 7.3% of patients. The main causative agent of аcute bacterial meningitis was S. pneumoniae (56.0%), the second place was taken by N. meningitidis (36.0%), the third one was divided between S. aureus and L. monocytogenes (4.0%). Brain edema (90.2%), paresis of extremities (11.7%) and epileptic seizures (7.8%) were frequent complications. The prevalence of аcute bacterial meningitis was 0.86 per 100 thousand population per year in the ratio between men and women of 1.5:1 and the total annual mortality of 0.06 per 100 thousand population.

Keywords:

bacterial meningitis epidemiology etiology adults

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Publication:

«World of Medicine and Biology» Vol. 16 No. 73 (2020) , с. 81-87
УДК 616.831-002

DOI:

https://doi.org/10.26724/2079-8334-2020-3-73-81-87