Ibrahim, A., Abdel Hakam, S., Hassan Ahmed, A., Hussein, A., Al Balakosy, A. (2020). Updated Epidemiological Aspects and outcome of Meningitis Cases at Abbassia Fever Hospital during the Period 2006-2017. Afro-Egyptian Journal of Infectious and Endemic Diseases, 10(4), 379-388. doi: 10.21608/aeji.2020.31957.1088
Amany Ahmed Ibrahim; Sara Mahmoud Abdel Hakam; Azza Mohammed Hassan Ahmed; Amr Mahmoud Hussein; Amira Mahmoud Al Balakosy. "Updated Epidemiological Aspects and outcome of Meningitis Cases at Abbassia Fever Hospital during the Period 2006-2017". Afro-Egyptian Journal of Infectious and Endemic Diseases, 10, 4, 2020, 379-388. doi: 10.21608/aeji.2020.31957.1088
Ibrahim, A., Abdel Hakam, S., Hassan Ahmed, A., Hussein, A., Al Balakosy, A. (2020). 'Updated Epidemiological Aspects and outcome of Meningitis Cases at Abbassia Fever Hospital during the Period 2006-2017', Afro-Egyptian Journal of Infectious and Endemic Diseases, 10(4), pp. 379-388. doi: 10.21608/aeji.2020.31957.1088
Ibrahim, A., Abdel Hakam, S., Hassan Ahmed, A., Hussein, A., Al Balakosy, A. Updated Epidemiological Aspects and outcome of Meningitis Cases at Abbassia Fever Hospital during the Period 2006-2017. Afro-Egyptian Journal of Infectious and Endemic Diseases, 2020; 10(4): 379-388. doi: 10.21608/aeji.2020.31957.1088
Updated Epidemiological Aspects and outcome of Meningitis Cases at Abbassia Fever Hospital during the Period 2006-2017
1Department of Tropical Medicine , Faculty of Medicine, Ain Shams University, Egypt.
2Department of Community, Environmental and Occupational Medicine, Faculty of Medicine , Ain Shams University, Egypt.
3Abbassia Fever Hospital, Cairo, Egypt.
Abstract
Background and study aim: Meningitis remains a major public health challenge. Epidemiology of meningitis has greatly changed, our aim is to report updates of epidemiologic aspects of meningitis cases including commonest etiologies & outcome. Patients and Methods: This is a retrospective descriptivestudy in which data was retrieved from hospital records of patients older than 18years with an admitting or discharge diagnosis of meningitis presented to Abbassia Fever Hospital in the time period 2006-2017. Results: A total of 959 patients were admitted to Abbassia Fever Hosiptal with final diagnosis of meningitis /meningioencephalitis in the time period 2006-2017. 61% aged (24-64 years), males (64.4%), more cases were reported in spring (38%) than other seasons, specifically in April (15%). Septic meningitis was the commonest etiology of meningitis (66.6%), followed by viral (17%) then tuberculous (15.6%) while cryptococcal was the least (0.6%). Although the etiologic organism was not isolated in 55.3%, streptococcus pneumonia was the commonest organism identified in 20%, followed by Neisseria meningitidis (12.3%) & Haemophilus influenzae (3.3%). 78.7% were completely recovered, 17.6% died & 3.6% had complications on discharge. The highest case fatality rate was in older age (31.7%). Patient outcome was significantly related to age (p < 0.001), smoking (p=0.05) , residence (p < 0.001), etiology of meningitis(p < 0.001) & occurrence of complication (p < 0.001). Conclusion: Septic followed by viral then tuberculous are common causes of community acquired meningitis in patients admitted to Abbassia Fever Hospital. Factors affecting patient outcome are age, residence, etiology
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