The epidemiological profile of meningitis among adults in a South African district hospital.


Journal

The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926

Informations de publication

Date de publication:
2022
Historique:
received: 25 05 2021
accepted: 04 02 2022
entrez: 23 6 2022
pubmed: 24 6 2022
medline: 25 6 2022
Statut: epublish

Résumé

understanding the epidemiological profile of a disease in a particular region allows for proper planning of public health resources for prevention, early diagnosis and treatment. In this present study, we describe the epidemiological profile of viral, fungal, tuberculous and bacterial meningitis among adults at National District Hospital (NDH), Free State province, over three years period (January 2017 to December 2019). a retrospective, observational study of all adult meningitis cases, managed at the National District Hospital (NDH) Bloemfontein, Free State Province, South Africa between January 2017 and December 2019. of the 236 case files reviewed, majority (93.2%; n=220) of the patients managed for meningitis were black, as well as males (55.5%; n = 131). Higher incidence was found between the ages 20 to 49 (81.7%). Of those who died, the majority (n = 14; 63.6%) were males, in the age group 40-49 (n = 7; 31.8%), had TB meningitis (n = 12; 54.5%), were HIV positive (n = 20; 90.9%), and had cell count <100 cells/mm our study suggests that combining information on patient demography, co-morbidities, clinical presentation, and examination findings can substantially contribute to raising clinical suspicion, leading to swift identification, diagnosis, and treatment of patients.

Identifiants

pubmed: 35734322
doi: 10.11604/pamj.2022.41.256.30015
pii: PAMJ-41-256
pmc: PMC9188002
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

256

Informations de copyright

Copyright: Kian Terwin et al.

Déclaration de conflit d'intérêts

All authors declare that there is no competing interest.

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Auteurs

Kian Terwin (K)

Undergraduate Medical Programme, School of Clinical Medicine, Faculty of Health Sciences, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa.

Mari Ferreira (M)

Undergraduate Medical Programme, School of Clinical Medicine, Faculty of Health Sciences, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa.

Christiaan Minnie (C)

Undergraduate Medical Programme, School of Clinical Medicine, Faculty of Health Sciences, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa.

Kalliopy Marangellis (K)

Undergraduate Medical Programme, School of Clinical Medicine, Faculty of Health Sciences, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa.

Ruben Darby (R)

Undergraduate Medical Programme, School of Clinical Medicine, Faculty of Health Sciences, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa.

Jesse Berlyn (J)

Undergraduate Medical Programme, School of Clinical Medicine, Faculty of Health Sciences, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa.

Anél Kleingeld (A)

Undergraduate Medical Programme, School of Clinical Medicine, Faculty of Health Sciences, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa.

Shezree Tiel (S)

Undergraduate Medical Programme, School of Clinical Medicine, Faculty of Health Sciences, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa.

Matthew Olukayode Abiodun Benedict (MOA)

Department of Family, Medicine Faculty of Health Sciences, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa.

Cornel van Rooyen (C)

Department of Biostatistics, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa.

Anthonio Oladele Adefuye (AO)

Division of Health Sciences Education, Office of the Dean, Faculty of Health Sciences, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa.

Joseph Bukulu Sempa (JB)

Department of Biostatistics, University of the Free State, PO Box 339, Bloemfontein, 9300, South Africa.

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Classifications MeSH