Caractéristiques des méningites à Klebsiella pneumoniae et Klebsiella oxytoca

Huriez, Pauline; Cattoir, Vincent; Corvec, Stéphane; Brun, Cécile; Janvier, Frédéric; Morand, P; Grillon, Antoine; Bille, Emmanuelle; Monnier, A. Le; Pilmis, Benoît

doi:10.1016/j.medmal.2019.04.236

Cited by 1 publication

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“…They are poorly described and yet their mortality is high. They seem to occur before 1 year, or around the age of 55, and can occur in patients without specific medical history [13]. Serratia marcescens is an enterobacterium that causes a multitude of infections and nosocomial epidemics including meningitis; found mainly in neonates and neurosurgery [14].…”

Section: Discussionmentioning

confidence: 99%

Bacterial and prognostic profile of nosocomial meningitis in newborns

Elhanafi,

Bennaoui,

Mahir

et al. 2022

Pediatr Neonatol Med

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Introduction: Nosocomial neonatal meningitis is particularly dreadful because it occurs in patients of immature immunity and a developing brain. It is always a challenge for the clinician due to its clinical polymorphism making the diagnosis often difficult Aim: To study the epidemiological, clinical, bacteriological, therapeutic and evolutionary aspects of neonatal nosocomial bacterial meningitis. Results: Through our series, we reported fourteen cases of nosocomial meningitis, ie 43% of meningitis recorded over the study period. A male predominance was observed in 57.1%. The newborns were preterm in 28% of cases and had low birth weight in 42% of cases. The germ isolated was Klebsiella pneumoniae in 28.4% of cases. The blood culture was positive in 64% of cases. The same germ was isolated in both blood and the cerebrospinal fluid in 42% of cases. The complications found were: ventriculitis (28.5%), triventricular and tetraventricular hydrocephalus (14.2%) and multiple cerebral abscesses (14.2%). The mortality rate recorded in our series was 28.5%. Conclusion: Nosocomial meningitis is a serious or even fatal condition requiring early diagnosis and adequate antimacrobial therapy. Prevention remains the best strategy for the battle against this infection

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Section: Discussionmentioning

confidence: 99%