Kliniğimizde 1992–2011 yılları arasında akut bakteriyel menenjit tanısıyla yatarak tedavi gören hastalarda erken komplikasyonlarla ilişkili etmenler

Amaç: Akut bakteriyel menenjitte erken komplikasyon gelişimi ile ilişkili etmenleri değerlendirmek.Gereç ve Yöntemler: Çalışmamızda Cerrahpaşa Tıp Fakültesi’nde Ocak1992–Ocak 2011 tarihleri arasında akut bakteriyel menenjit tanısı konulan 389 olgu erken komplikasyon gelişimi için risk etmenlerin belirlenmesi amacıyla geriye dönük olarak incelendi.Bulgular: Değerlendirilen olguların %17’si N. meningitidis, %13,6’sı S.pneumoniae, %6,4’ü H. influenzae tip b menenjiti idi, %55,5’inde etkensaptanamadı. Ölüm oranı %1, erken komplikasyon %27,8 oranındaydı.Komplikasyonlar sıklık sırasıyla septik şok ve dissemine intravaskülerkoagülasyon (%33,3), hidrosefali (%23,1), subdural efüzyon (%19,4) ve epilepsi (%12) idi. Erken komplikasyonlar için risk etmenleri iki yaş altındaolma (p

Factors associated with early complications in inpatients who were treated in our clinic between 1992 and 2011 with a diagnosis of acute bacterial meningitis

Aim: To evaluate factors associated with the development of early complications in acute bacterial meningitis. Material and Methods: In our study, 389 patients diagnosed with acute bacterial meningitis between January 1992 and January 2011 at Cerrahpaşa Medical Faculty were retrospectively analyzed to determine the risk factors for the development of early complications. Results: The causative agent was N. meningitidis in 17% of cases, S. pneumoniae in 13.6%, and H. influenzae type b in 6.4%. In 55.5% of cases, the causative agent could not be identified. The mortality rate was found as 1% and the early complication rate was 27.8%. The complications observed included septic shock and disseminated intravascular coagulation (33.3%), hydrocephalus (23.1%), subdural effusion (19.4%), and epilepsy (12%). Risk factors for early complications included being aged below two years (p

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