Attar Ahmed, Khojah Abdulrahman M, Sakhakhni Abdulrazak M, Alasmari Hussam, Bamusa Abdulaziz, Alharbi Yousef, Alajmi Talal, Ahmed Mohamed E, Awadh Abdullah A
Department of Neurosciences, Ministry of the National Guard - Health Affairs, Jeddah, SAU.
Research Office, King Abdullah International Medical Research Center, Jeddah, SAU.
Cureus. 2024 Sep 5;16(9):e68707. doi: 10.7759/cureus.68707. eCollection 2024 Sep.
Introduction Encephalitis, meningitis, and meningoencephalitis present significant challenges in clinical management owing to their diverse etiologies and potential complications. A high suspicion index is critical for guiding treatment strategies and improving patient outcomes. Understanding the demographic characteristics and frequency of causes of these conditions is essential to deliver optimized care. Objective This study aimed to investigate epidemiological causes and relative outcomes, including mortality, based on cultures, laboratory investigations, and demographic factors among patients with encephalitis, meningitis, and meningoencephalitis in a Saudi Arabian tertiary care center. Methods A retrospective cross-sectional study was conducted at King Abdulaziz Medical City (KAMC) in Jeddah, Saudi Arabia. Data were collected from patients admitted between April 2016 and December 2022 who met the specified inclusion criteria. Results Among 233 patients, meningitis was the most prevalent diagnosis (65.77%), with bacterial agents being the predominant causative agents (79.74%). Higher mortality was significant with pediatrics <5 years and adults >60 years. Conclusion This study provides valuable insights into the epidemiology and clinical outcomes of central neurological infections based on a Saudi Arabian cohort. These findings underscore the importance of an accurate diagnosis and tailored management strategies. Further studies are warranted to enhance our understanding and to inform more predictable characteristics targeted in optimizing healthcare delivery for patients with such conditions.
引言
脑炎、脑膜炎和脑膜脑炎因其病因多样和潜在并发症,在临床管理中面临重大挑战。高度的怀疑指数对于指导治疗策略和改善患者预后至关重要。了解这些疾病的人口统计学特征和病因频率对于提供优化护理至关重要。
目的
本研究旨在基于沙特阿拉伯一家三级医疗中心的脑炎、脑膜炎和脑膜脑炎患者的培养结果、实验室检查及人口统计学因素,调查其流行病学病因及包括死亡率在内的相关预后情况。
方法
在沙特阿拉伯吉达的阿卜杜勒阿齐兹国王医疗城(KAMC)进行了一项回顾性横断面研究。收集了2016年4月至2022年12月期间入院且符合特定纳入标准的患者的数据。
结果
在233例患者中,脑膜炎是最常见的诊断(65.77%),细菌病原体是主要致病因素(79.74%)。5岁以下儿童和60岁以上成人的死亡率较高。
结论
本研究基于沙特阿拉伯队列,为中枢神经系统感染的流行病学和临床结局提供了有价值的见解。这些发现强调了准确诊断和量身定制管理策略的重要性。有必要进行进一步研究,以加深我们的理解,并为优化此类疾病患者的医疗服务提供更具可预测性的特征依据。