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Chapter-23 Acute Bacterial Meningitis

BOOK TITLE: Principles of Pediatric & Neonatal Emergencies

Author
1. Aneja S
2. Aggarwal Anju
ISBN
9788184489507
DOI
10.5005/jp/books/11182_23
Edition
3/e
Publishing Year
2011
Pages
11
Author Affiliations
1. Lady Hardinge Med. College, New Delhi, Lady Hardinge Medical College, New Delhi, Lady Hardinge Medical College and Kalawati Saran Childrens’ Hospital, New Delhi, e-mail: gudu@del6.vsnl.net.in, Kalawati Saran Children’s Hospital, Lady Harding Medical College, New Delhi, Lady Hardinge Madical College, Kalawati Saran Children Hospital, New Delhi, India, Kalawati Saran Children’s Hospital and Lady Hardinge Medical College, New Delhi, India, Lady Hardinge Medical College & Kalawati Saran Children’s Hospital, New Delhi, Reader’s Flat No. 4, Lady Hardinge Medical College Campus, New Delhi 110001, School of Medical Sciences and Research Sharda University, Greater Noida, Uttar Pradesh, India, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India; Lady Hardinge Medical College, and Kalawati Saran Children’s Hospital, New Delhi, India, Lady Hardinge Medical College and Kalawati Saran Childrens’ Hospital, New Delhi, India
2. University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, University College of Medical Sciences and GTB Hospital, New Delhi, India, University College of Medical Sciences, New Delhi, India, University College of Medical Sciences, Delhi, University College of Medical Sciences and Guru Tegh Bahadur Hospital, New Delhi, India, University, College of Medical College and Guru Tegh Bahadur Hospital, Delhi, India, University College of Medical Sciences, and Guru Tegh Bahadur Hospital, Dilshad Garden, New Delhi, Univeristy College of Medical Sciences and Guru Tegh, Bhadur Hospital, New Delhi, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India, University College of Medical Sciences, Delhi, India, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi, India
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Abstract

Acute bacterial meningitis (ABM) remains a common life-threatening condition in children. In a multicentric survey in India, ABM constituted 1.5 percent of admissions in pediatric wards and the mean case fatality was 16 percent. Even though the mortality on account of this formidable disease has decreased over the years with the availability of potent antibiotics, a significant number of patients are left with neurological sequelae. Acute bacterial meningitis is essentially a disease of young children. Poor socioeconomic condition, overcrowding recent colonization with pathogenic bacteria, cerebrospinal fluid communications (congenital or acquired) across the mucocutaneous barrier are some of the host factors which increase the risk of meningitis. Most cases of ABM are sporadic except meningococcal meningitis which often occurs in epidemic form specially in Sub-Saharan Africa and Indian subcontinent. Meningococcal meningitis occurs most frequently in young children with peak attack rates in 6-12 months infants. A second peak occurs in adolescence.

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