Epidemiology Of Pyomeningitis In Hospitalized Children

Abstract

Background: Pyogenic meningitis is one of the formidable illnesses of childhood and continues to be a major challenge to the physicians. The aim of the present study is to describe the etiology, clinical spectrum, outcome and epidemiology of pyomeningitis.Methods: This was a prospective study conducted over a one year period in the pediatric Hospital, tertiary care Institute in North West part of Rajasthan (Bikaner). As per the inclusion criteria pyomeningitis cases were included. CSF analysis was done. All the collected data was tabulated and statically analyzed by using SPSS software.Results: Prevalence of pyomeningitis is comprised of 2.5%. Streptococcal pneumonia was commonest pathogens. The recovered organisms were sensitive to 3rd generation Cephalosporins, Amikacin Vancomycin, Meropenam. The mortality was higher in children who documented thick or purulent C.S.F, cell counts more than 1000, markedly elevated C.S.F. proteins (200 mg %) and sugar less than 20 mg%.Conclusion: Pyomeningitis can be lifethreatining because of the inflammation's proximity to the brain and spinal cord. Early diagnosis and promt treatment modality is necessary to prevent adverse neurological sequalae