Clinical, Paraclinical, and Antimicrobial Resistance Features of Community-Acquired Acute Bacterial Meningitis at a Large Infectious Diseases Ward in Tehran, Iran

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HEYDARI BEHROOZ; KHALILI HOSSEIN; KARIMZADEH IMAN; EMADI KOCHAK HAMID

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Journal Paper

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Journal: Iranian Journal of Pharmaceutical Research Year:2016 | Volume:15 | Issue:1 Page(s): 347-354

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Title

Clinical, Paraclinical, and Antimicrobial Resistance Features of Community-Acquired Acute Bacterial Meningitis at a Large Infectious Diseases Ward in Tehran, Iran

Author(s)

HEYDARI BEHROOZ | KHALILI HOSSEIN | KARIMZADEH IMAN | EMADI KOCHAK HAMID | Issue Writer Certificate

Keywords

Community acquired meningitis

Antimicrobial resistance pattern

Treatment Regimens

Clinical data

Abstract

In this study demograph, clinical, paraclinical, microbiological, and therapeutic features of patients with community-acquired acute bacterial meningitis admitted to a referral center for infectious diseases in Iran, have been evaluated. Medical records of adult (> 18 years) individuals with confirmed diagnosis of communityacquired bacterial meningitis during a 4-year period were retrospectively reviewed. All required data were obtained from patients’ medical charts. Available findings about antimicrobial susceptibility of isolated bacteria from CSF and/or blood were also collected. Kirby-Bauer disc diffusion method was used to determine their antimicrobial susceptibility profile. Details of medical management including antibiotic regimen, duration, patients’ outcome, and possible sequelae of meningitis were recorded. The most commonly isolated microorganism from CSF or blood of patients was Streptococcus pneumonia (33. 33%) followed by Neisseria meningitidis (27. 78%) and Haemophilus influenza (16. 67%). The most common antimicrobial regimen was ceftriaxone plus vancomycin (69. 44%) followed by ceftriaxone plus vancomycin plus ampicillin (11. 11%). Neurological sequelae of meningitis including cranial nerve palsy, deafness, and hemiparesis were identified in 4 (11. 11%), 2 (5. 56%), and 1 (2. 78%) subjects, respectively. Regarding mortality, only 3 (8. 33%) patients died from bacterial meningitis and the remaining 33 individuals discharged from the hospital. In conclusion, findings of the current study demonstrated that the mean incidence of acute bacterial meningitis in a referral infectious diseases ward in Iran was 9 episodes per year. The majority cases of community-acquired acute bacterial meningitis admitted to our center had negative CSF culture and classic triad of meningitis was absent in them.

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APA: Copy

HEYDARI, BEHROOZ, KHALILI, HOSSEIN, KARIMZADEH, IMAN, & EMADI KOCHAK, HAMID. (2016). Clinical, Paraclinical, and Antimicrobial Resistance Features of Community-Acquired Acute Bacterial Meningitis at a Large Infectious Diseases Ward in Tehran, Iran. IRANIAN JOURNAL OF PHARMACEUTICAL RESEARCH (IJPR), 15(1), 347-354. SID. https://sid.ir/paper/288558/en

Vancouver: Copy

HEYDARI BEHROOZ, KHALILI HOSSEIN, KARIMZADEH IMAN, EMADI KOCHAK HAMID. Clinical, Paraclinical, and Antimicrobial Resistance Features of Community-Acquired Acute Bacterial Meningitis at a Large Infectious Diseases Ward in Tehran, Iran. IRANIAN JOURNAL OF PHARMACEUTICAL RESEARCH (IJPR)[Internet]. 2016;15(1):347-354. Available from: https://sid.ir/paper/288558/en

IEEE: Copy

BEHROOZ HEYDARI, HOSSEIN KHALILI, IMAN KARIMZADEH, and HAMID EMADI KOCHAK, “Clinical, Paraclinical, and Antimicrobial Resistance Features of Community-Acquired Acute Bacterial Meningitis at a Large Infectious Diseases Ward in Tehran, Iran,” IRANIAN JOURNAL OF PHARMACEUTICAL RESEARCH (IJPR), vol. 15, no. 1, pp. 347–354, 2016, [Online]. Available: https://sid.ir/paper/288558/en

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