Pooled analysis of 899 nosocomial meningitis episodes from Turkey

Background/aim: Healthcare-associated meningitis (HCAM) is a relatively rare entity with significant morbidity and mortality. The aim of this study was to systematically review the Turkish medical literature for acute nosocomial meningitis. Materials and methods: One national (ULAKBİM) and two international (www.scopus.com and www.pubmed.com) databases were searched. In addition, abstracts of four national congresses held between 2004 and 2013 were searched for reports for HCAM meningitis. Results: Data for 899 HCAM meningitis episodes were obtained from 24 reports. In terms of clinical findings, 177 of 216 (81.9%) had fever (>38 °C), 55 of 64 (85.9%) had high CRP levels, 105 of 132 had leukocytosis (>10,000/mm3), and 241 of 759 had shunt infection. Cerebrospinal fluid culture yielded a pathogen in 689 of 872 nosocomial meningitis episodes. The most common pathogen was Acinetobacter spp. (30.7%), followed by coagulase-negative staphylococci (21.2%) and Staphylococcus aureus (19%). Carbapenem resistance was reported in 18 of 48 (37.5%) Acinetobacter spp. Overall mortality was 160/593 (27%). Pathogen-specific mortality was 55.5% (30/54) for A. baumannii whereas it was 18.9% (7/37) for S. aureus and 2/17 (11,7%) for MRSA. Conclusion: Nosocomial meningitis is still a serious and highly fatal disease. More preventive measures should be sought to further decrease HCAM meningitis and the mortality/morbidity related to it.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

A functional tool demonstrating the physical function decline independent of age in patients with predialysis chronic kidney disease

Neşe ÖZGİRGİN, Didem SEZGİN ÖZCAN, İrfan TAŞOĞLU, Nihal ÖZKAYAR, Özlem TAŞOĞLU, Nergiz BAYRAKCI

Comparison of response to treatment of unilateral and bilateral varicocelectomy

Ural OĞUZ, Ercan ÖĞREDEN, Erdal BENLİ, Abdullah ÇIRAKOĞLU, Erhan DEMİRELLİ, Orhan YALÇIN

Tülay KAMAŞAK, SÜLEYMAN TÜREDİ, HEPSEN MİNE SERİN, Ahmet MENTEŞE, Abdülkadir GÜNDÜZ, Ahmet ALVER, Ali CANSU

Outcomes after lobectomy and pneumonectomy in lung cancer patients aged 70 years or older

Maruf ŞANLI, İlknur AYTEKİN, Ahmet Ferudun IŞIK, Ahmet ULUŞAN, Seval KUL, Kemal BAKIR, Levent ELBEYLİ, Bülent TUNÇÖZGÜR

Recai ERGÜN, Dilek ERGÜN, Ender EVCİK, BEGÜM ERGAN

Cardiac MRI and 3D contrast-enhanced MR angiography in pediatric and young adult patients with Turner syndrome

Hasan YİĞİT, Zehra AYCAN, Aşan ÖNDER, Selmin KARADEMİR, Vehbi DOĞAN, Senem ÖZGÜR

Neutrophil-to-lymphocyte ratio is elevated in recurring nonmuscle invasive bladder cancer

Emrah YÜRÜK, Serkan GÖNÜLTAŞ, Theodore Robert SAITZ, Ege Can ŞEREFOĞLU, Ahmet Yaser MÜSLÜMANOĞLU

Surgical treatment of pulmonary arteriovenous malformations

Pınar BIÇAKÇIOĞLU, Nurettin KARAOĞLANOĞLU, Yetkin AĞAÇKIRAN, Sadi KAYA, Selim Şakir Erkmen GÜLHAN, Ebru SAYILIR, Hakan ERTÜRK

Retrospective analysis of primary gastric diffuse large B-cell lymphoma: a single center study from Turkey

Asu Fergün YILMAZ, Murat TOMBULOĞLU, Fahri ŞAHİN, Mine HEKİMGİL, Güray SAYDAM, Filiz VURA, Nur SOYER, Nazan ÖZSAN

AHMAD BANJAR, Mohammed FELEMBAN, Khalid DHAFAR, Zohair GAZZAZ, Badr Al HARTHI, MUKHTIAR BAIG, Kasim Al KHATIB, Jameela ZAKARIA, Kawther HAWSAWI, Lilma ISAHAC, ARBI AKBAR