Neonatal Meningitis in Northern Jordan

A. S Daoud; M Al-Sheyyab; F Abu-Ekteish; A Obeidat; A. A Ali; H El-Shanti

doi:10.1093/tropej/42.5.267

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Neonatal Meningitis in Northern Jordan

A. S Daoud, M Al-Sheyyab, F Abu-Ekteish, A Obeidat, A. A Ali and H El-Shanti

Journal of tropical pediatrics (1980), Vol.42(5), pp.267-270

10/1996

DOI: 10.1093/tropej/42.5.267

PMID: 8936956

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Abstract

A two-and-a-half year prospective study of neonatal meningitis in the two main referral hospitals in Northern Jordan was carried out to determine the clinical spectrum and particular characteristics of meningitis in the newborn. The 53 cases studied represented an incidence of 1.1 per 1000 live births. The commonest bacterial pathogen isolated was Klebsiella species (40 per cent) followed by Enterobacter (19 per cent). The mortality rate and neurological sequelae among surviving children were 32 and 39 per cent, respectively, with higher rates among preterm/low birth weight and early onset meningitis groups. Of the presenting clinical features, there was a highly positive association between two risk factors and outcome. A bulging anterior fontanelle was the only significant predictor of mortality (P=0.009) and altered sensorium was the only predictive of post-meningitis sequelae (P=0.016). The need to recognize that Klebsiella species is an increasingly important pathogen; cefotaxime or ceftazidime plus ampicillin are the most appropriate antibiotics to be used initially, and continuous surveillance thereafter have been stressed.

Details

Title: Subtitle: Neonatal Meningitis in Northern Jordan
Creators: A. S Daoud - Department of Paediatrics, Jordan University of Science and Technology Irbid, Jordan
M Al-Sheyyab - Department of Paediatrics, Jordan University of Science and Technology Irbid, Jordan
F Abu-Ekteish - Department of Paediatrics, Jordan University of Science and Technology Irbid, Jordan
A Obeidat - Princess Badia'a Teaching Hospital Irbid, Jordan
A. A Ali - Prince Rashid Military Hospital Irbid, Jordan
H El-Shanti - Department of Paediatrics, Jordan University of Science and Technology Irbid, Jordan
Resource Type: Journal article
Publication Details: Journal of tropical pediatrics (1980), Vol.42(5), pp.267-270
DOI: 10.1093/tropej/42.5.267
PMID: 8936956
NLM abbreviation: J Trop Pediatr
ISSN: 0142-6338
eISSN: 1465-3664
Publisher: Oxford University Press
Language: English
Date published: 10/1996
Academic Unit: Stead Family Department of Pediatrics; Medical Genetics and Genomics
Record Identifier: 9984093506502771

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