Ozumba U C
Department of Medical Microbiology, University of Nigeria Teaching Hospital, Enugu.
Cent Afr J Med. 1995 Feb;41(2):54-9.
A total of 84 cases of meningitis confirmed by isolation of the organisms at the University of Nigeria Hospital (UNTH) Enugu, Nigeria between 1 April 1989 and 31 March 1993 are presented. The cases are analysed by diagnosis, seasonal distribution, age and sex distribution and age specific case fatality rate. The most common type of meningitis was pneumococcal meningitis 32 cases, followed by coliform meningitis 31 cases and meningococcal meningitis, six cases. Other bacterial causes of meningitis accounted for 15 cases. The majority of cases occurred in infants, followed by children, with all cases occurring sporadically. Mortality was high with Streptococcus pneumoniae having the highest case fatality rate of 28.13 pc followed by coliforms, 25.78 pc. Fifty pc of the patients had pre-medication before presentation at the hospital, and many of the patients could not receive appropriate therapy because they were unable to afford the cost of the drugs. This probably contributed to the high mortality.
本文呈现了1989年4月1日至1993年3月31日期间，在尼日利亚埃努古的尼日利亚大学医院（UNTH）通过病原体分离确诊的84例脑膜炎病例。对这些病例按诊断、季节分布、年龄和性别分布以及年龄特异性病死率进行了分析。最常见的脑膜炎类型是肺炎球菌性脑膜炎，32例，其次是大肠埃希菌性脑膜炎，31例，脑膜炎球菌性脑膜炎6例。其他细菌性脑膜炎病因占15例。大多数病例发生在婴儿，其次是儿童，所有病例均为散发性。死亡率很高，肺炎链球菌的病死率最高，为28.13%，其次是大肠埃希菌，为25.78%。50%的患者在入院前已接受过预处理，许多患者因无力承担药物费用而无法接受适当治疗。这可能是导致高死亡率的原因。
