Epidemiology and clinical manifestations of meningitis in patients hospitalized at the Centro Médico Nacional-Hospital Nacional
Main Article Content
Abstract
Introduction: meningitis is a medical emergency which requires timely diagnosis and treatment to avoid complications.
Objective: determine the clinical and epidemiological characteristics of meningitis in patients hospitalized at the Centro Médico Nacional.
Materials and methods: Cross-sectional study that evaluated patients over 18 years of age with complete records; epidemiological, clinical, paraclinical and therapeutic characteristics were collected. Differences in patient characteristics were explored according to age group.
Results: of the 70 patients, 74 % were male; 72.88 had microbiological isolation and without microbiological isolation (27 %), the most frequently isolated germ was S. pneumoniae. The antibiotic treatment of choice was combined therapy with ceftriaxone plus vancomycin (39 %) with a mortality of 37 %.
Conclusions: bacterial meningitis was the most frequent (50 %) followed by fungal and lastly viral,
combined therapy proved to be the most useful.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Rodrigo Blamey D. Meningitis bacteriana aguda. Rev médica Clín Las Condes [Internet]. 2014;25(3):534–40. Disponible en: https://www.elsevier.es/es-revista-revista-medica-clinica-lascondes-202-articulo-meningitis-bacteriana-aguda-S0716864014700677
Sabatela LS, Natera Alvizu I, Morill Gimón L, Aouad Tórrez RA. Aproximación al diagnóstico y tratamiento de meningitis por microorganismos poco frecuentes. Arch Venez Pueric Pediatr. 2010;73(4):067–76. Disponible en: https://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0004-06492010000400012
Chaussade H, Bernard L. Meningitis agudas del adulto. EMC - Tratado Med. 2015;19(2):1–8. Disponible en: https://www.sciencedirect.com/science/article/pii/S1636541015709529
Morales-Casado MI, Julián-Jiménez A, Lobato-Casado P, Cámara-Marín B, Pérez-Matos JA, Martínez-Maroto T. Factores predictores de meningitis bacteriana en los pacientes atendidos en urgencias. Enferm Infecc Microbiol Clin [Internet]. 2017;35(4):220–8. Disponible en: https://www.sciencedirect.com/science/article/pii/S0213005X1600077X
Crepaldi PIS, Dias CAR, Lariucci R, Silva RMV, Gianella JCB, Sanvito WL, et al. Estudo epidemiológico e clí-nico sobre meningite em adultos no setor de emergência em São Paulo. Arq Med Hosp Fac Cien Med Santa Casa São Paulo. 2014;59(1):1–6. Disponible en: https://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/view/171/181
Sierra Saldívar A. Meningitis criptocóccica: meningitis criptocócica. Rev. Nac. (Itauguá). 2013; 5(1): 34-43. Disponible en: http://scielo.iics.una.py/scielo.php?script=sci_arttext&pid=S2072-81742013000100005&lng=en
Leguizamón R, Guillén MC, Gómez G, Bogado ME. Meningitis en el Hospital Nacional: VI muestra nacional de epidemiología. Rev. Nac. (Itauguá). 2017; 9(1):61-77. doi:10.18004/rdn2017.0009.01.061-077 .
Alvarado Guevara AT, Castillo Solano LM. Meningitis bacteriana. Med. leg. Costa Rica [Internet]. 2006;23(1):129-142. Disponible en: http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1409-00152006000100010&lng=en.
Madrigal K, Paniagua MQ, Luis D, Kattia D, Zúñiga M. Meningitis fúngica en un paciente inmunodeficiente sin diagnóstico previo. Rev. Colegio de Microb. Quim. De Costa Rica. 2019;25(2):47-55 Disponible en: https://revista.microbiologos.cr/wpcontent/uploads/2023/11/Articulo-1-1.pdf