Neurological and Bacteriological assessment of suspected meningitis cases at Suez Canal University Hospital | ||||
Egyptian Journal of Medical Microbiology | ||||
Volume 29, Issue 1, January 2020, Page 67-75 PDF (656.51 K) | ||||
Document Type: New and original researches in the field of Microbiology. | ||||
DOI: 10.21608/ejmm.2020.249860 | ||||
View on SCiNiTO | ||||
Authors | ||||
Mohamed Elsamahy1; Asmaa Hashem* 2; Amani El-Kelany3; Wafaa H. Omar4; Mona Salama5; Rasha Emad5 | ||||
1Department of Neurology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt | ||||
2Department of Medical Microbiology and Immunology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt | ||||
3Department of Pediatrics, Faculty of Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt | ||||
4Department of Infectous and Endemic Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt | ||||
5Department of Clinical Pathology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt | ||||
Abstract | ||||
Introduction: Acute Bacterial Meningitis (ABM) are a potent cause of morbidity and mortality in all age groups, with long-term neurological disability. Objective: to determine the neurological events and bacterial pathogens, isolated from cerebrospinal fluids of suspected bacterial meningitis cases. Methods: Descriptive study included 181 cerebrospinal fluid from suspected ABM cases, aged from 13 to 26 years old, Biochemical, hematological tests, and bacteriological culture were done. Results: The most cerebrovascular symptoms were ventriculoperitoneal (VP) shunt (13.3%), convulsions (10.5%) then brain edema (8.3%), commonest CSF bacterial pathogens were Streptococcus species, E.coli and N. Meningitidis. The susceptibility pattern for isolated bacteria to Meropenam, Levofloxacin, Ciprofloxacin, Rifampicin and Ampicillin were 95%, 85%, 82.5%, 75% and 70%, respectively.Conclusion: Gram negative bacteria show highest susceptibility to Aztroenam and highest susceptibility to Erythromycin for Streptococcus spp. Ampicillins and cephalosporins are still active in the treatment of ABM. | ||||
Keywords | ||||
Meningitis; CSF; Bacterial culture; Antibiotic sensitivity | ||||
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