Olanrewaju D M, Olusanya O, Laditan A A
College of Health Sciences, Ogun State University, Sagamu, Nigeria.
West Afr J Med. 1991 Jan-Mar;10(1):405-11.
A retrospective study of 48 children with pyogenic meningitis who were admitted between January 1986 and December, 1987 at the Ogun State University Teaching Hospital, Sagamu has shown that childhood meningitis is an important health problem in the community as it accounted for 2.8% of 1,724 admissions into the paediatric ward. The ages of the patients ranged from three weeks to twelve years with a mean of 2 1/2 years. The commonest causative organism was Streptococcus pneumoniae which accounted for 67.5% of all isolates. The mortality rate was 26.1% while significant morbidity occurred in 23.5% of survivors. Important prognostic factors included the presence of coma or persistent convulsions, low CSF glucose and low serum sodium levels as well as the interval between symptoms and treatment.
一项对1986年1月至1987年12月期间入住萨加穆奥贡州立大学教学医院的48例化脓性脑膜炎患儿的回顾性研究表明，儿童脑膜炎是该社区的一个重要健康问题，因为它占儿科病房1724例入院病例的2.8%。患者年龄从3周龄至12岁不等，平均年龄为2.5岁。最常见的致病微生物是肺炎链球菌，占所有分离菌株的67.5%。死亡率为26.1%，而23.5%的幸存者出现了严重的发病情况。重要的预后因素包括昏迷或持续性惊厥的存在、脑脊液葡萄糖水平低和血清钠水平低，以及症状出现与治疗之间的间隔时间。
