Sequelae of Bacterial Meningitis Acute Complications and Its Mortality Rate in Services Hospital Lahore

Abstract

BACKGROUND: Bacterial meningitis results in a major acute complications causing mortality and morbidity in infants.

Objective: This study was performed on the acute complication to obtain data on mortality frequency in children associated with bacterial meningitis.

Study Design:  An observational study.

Place and duration: This study was performed in the Department of Pediatrics Services Hospital, Lahore for the period of one year from January 2016 to January 2017.

Patients and Methods:. All patients with possible bacterial meningitis ranging from 1 month to 10 years were included in the study. The data was collected in a proforma which was pre-designed and the data was analyzed with SPSS 14 version.

Results:  50 of the total patients were included in the study. 40(80%) were males and females were 10 (20%)  with an M: F ratio of 4: 1. Approximately three-quarters of patients (76.67%) were younger than 1 year (46/60). 21 (35%) patients complained during admission to the hospital. Most common complication  were seizures (21.7%) followed by hydrocephalus (10%), subdural effusion (11.9%),  hemiplegia (7%), cranial nerve palsy (8%)). In ten patients more than one complications were noted. Only 1 death (1.67%) occurs and refusal was from one patient from medical treatment. In this study, a longer period of time in the hospital than in the 7 days was associated significantly with the ratio of meningitis complications.

Conclusion: In this study, seizures and hydrocephaly is the acute complications of meningitis. Long symptomatic symptoms in patients have an increased risk of acute complications.