1. Clinical characteristics and etiology of bacterial meningitis in Chinese children >28 days of age, January 2014–December 2016: A multicenter retrospective study
- Author
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Chi Li, Wen-ya Feng, Ai-wei Lin, Guo Zheng, Yan-chun Wang, Yan-jun Han, Jian-min Zhong, Jing Bi, Qiong Luo, Fang-chao Zhao, Ping Jin, Ling-yun Guo, Na Li, Jie Yu, Xiao-tao Yang, Jun Liang, Ji-kui Deng, Yong-jun Li, Yu-jiao Wang, Xiong-ying Yu, Dong-meng Wang, Liang Ru, Juan Chen, Yong-hong Yang, Qiao-zhi Yang, and Gang Liu
- Subjects
Infectious and parasitic diseases ,RC109-216 - Abstract
Objective: To explore the clinical characteristics and etiology of bacterial meningitis (BM) in Chinese children. Method: BM cases in children 28 days to 18 years old were collected from January 2014–December 2016 and screened according to World Health Organization standards. Clinical features, pathogens, and resistance patterns were analyzed. Results: Overall, 837 cases were classified into five age groups: 28 days–2 months (17.0%), 3–11 months (27.8%), 12–35 months (24.0%), 3–6 years (13.9%), and >6 years (17.3%). Major pathogens were Streptococcus pneumoniae (S. pneumoniae, n = 136, 46.9%), group B Streptococcus (GBS, n = 29, 10.0%), and Escherichia coli (E. coli, n = 23, 7.9%). In infants 3 months old, S. pneumoniae (54.7%), which had a penicillin non-susceptibility rate of 55.4% (36/65), was most frequent. The resistance rates of S. pneumoniae and E. coli to cefotaxime and ceftriaxone were 14.0%/40.0% and 11.3%/68.4%, respectively. All GBS isolates were sensitive to penicillin. Conclusions: The occurrence of BM peaked in the first year of life, while S. pneumoniae was the predominant pathogen in children >3 months of old. The antibiotic resistance of S. pneumoniae was a concern. Keywords: Bacterial meningitis, Children, Pathogen, Antibiotic susceptibility
- Published
- 2018
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