Detection of Acute Childhood Meningitis using PCR in a group of Children at Childs Central Teaching Hospital/Baghdad
Keywords:PCR; Childs central teaching; childhood; Baghdad
Bacterial meningitis is an important cause of death in both developed and developing world.
The study was done on 116 patients admitted to child central teaching hospital in Baghdad ,and diagnosed
with meningitis depending on CSF findings and PCR results while determination of type of microorganism
depend on PCR result . In this study we aimed to assess the patients regarding their numbers ,clinical
manifestations , complications and type of bacteria causing the disease .Regarding the results of PCR,
streptococcus meningitis at the top of the list for the bacterial causes while no any reported cases with
Hemophillus influenza and this could be referred to the program of vaccination applied in Iraq which included
the vaccines against both types of bacteria. Results :of 116 patient involved in this study, majority (44%)
were below 1 year ,with male predominance (57.8 %).most of the patients symptoms between 1-3 days
(56%).all patients presented with fever. The diagnosis depend on the PCR results (57.8%) were negative and
(37.9%) showed streptococcal infection .All blood culture were surprisingly negative because majority of
included patients received antibiotics in outpatient visits before admission and diagnosis.
Patients admitted and followed up to one year for development of complications. Sixteen cases developed
complications, (3.4%) of them with subdural effusion and most of complication occur in streptococcal
positive PCR results .
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