E-ISSN 2063-5346
 

Original Research 


MENINGITIS RAPID DIAGNOSTIC TEST FOR CASE MANAGEMENT IN A FEVER HOSPITAL

Sameh M. Abdel Monem.

Abstract
Abstract: Background and aim: Acute bacterial meningitis (ABM) is a severe infectious disease that is endemic in Egypt. Great efforts are spent to provide continuous updates about its epidemiology and outcomes. The current study aimed to evaluate role of rapid reagent tests in the diagnosis of ABM.
Methods: This was a prospective cross-sectional observational study. The study included 350 cases admitted with suspected meningitis. Lumbar puncture (LP): for collection of cerebrospinal fluid (CSF) samples. CSF examinations (physical, chemical, cytological and microbiological examinations) and rapid reagent test were done. Blood culture was done. MRI was performed before L.P for indicated cases. Detailed analysis of demographic characteristics, clinical symptoms & signs. Interpretation of the results of laboratory investigations. The causative microorganisms and prognosis of all ABM cases were studied.
Results: Preexisting illnesses presented in 74.5% of patients with ABM. 40% of the patients didn’t receive antibiotics before admission. 56.4% of the organisms were classified Streptococcus pneumonia (S. pneumonia), Staphylococcus aureus (S. aureus), Staphylococcus epidermis (S. epidermidis), group B streptococcus (GBS), and Enterococci Listeria monocytogenes (L. monocytogenes). 43.6% of bacteria causing ABM were Neisseria meningitides (N. meningitides), Escherichia coli (E coli), Hemophilus influenza type b (Hib). ABM carried a high mortality rate (22.7%). ABM resulted in long term hazards in 21.8%. There was a highly significant positive correlation (P<0.001) between the rapid reagent strip test and laboratory leukocytes count, protein, and glucose concentration in cases of ABM.
Conclusion: ABM affects a wide range of patients' age. Rapid reagent test provides quick and reliable diagnostic tool for ABM.

Key words: Acute bacterial meningitis; pneumonia; etiology; prognosis


 
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Pubmed Style

Sameh M. Abdel Monem. MENINGITIS RAPID DIAGNOSTIC TEST FOR CASE MANAGEMENT IN A FEVER HOSPITAL. ECB. 2022; 11(5): 38-43. doi:10.31838/ecb/2022.11.05.006


Web Style

Sameh M. Abdel Monem. MENINGITIS RAPID DIAGNOSTIC TEST FOR CASE MANAGEMENT IN A FEVER HOSPITAL. https://www.eurchembull.com/?mno=81392 [Access: September 25, 2022]. doi:10.31838/ecb/2022.11.05.006


AMA (American Medical Association) Style

Sameh M. Abdel Monem. MENINGITIS RAPID DIAGNOSTIC TEST FOR CASE MANAGEMENT IN A FEVER HOSPITAL. ECB. 2022; 11(5): 38-43. doi:10.31838/ecb/2022.11.05.006



Vancouver/ICMJE Style

Sameh M. Abdel Monem. MENINGITIS RAPID DIAGNOSTIC TEST FOR CASE MANAGEMENT IN A FEVER HOSPITAL. ECB. (2022), [cited September 25, 2022]; 11(5): 38-43. doi:10.31838/ecb/2022.11.05.006



Harvard Style

Sameh M. Abdel Monem (2022) MENINGITIS RAPID DIAGNOSTIC TEST FOR CASE MANAGEMENT IN A FEVER HOSPITAL. ECB, 11 (5), 38-43. doi:10.31838/ecb/2022.11.05.006



Turabian Style

Sameh M. Abdel Monem. 2022. MENINGITIS RAPID DIAGNOSTIC TEST FOR CASE MANAGEMENT IN A FEVER HOSPITAL. European Chemical Bulletin, 11 (5), 38-43. doi:10.31838/ecb/2022.11.05.006



Chicago Style

Sameh M. Abdel Monem. "MENINGITIS RAPID DIAGNOSTIC TEST FOR CASE MANAGEMENT IN A FEVER HOSPITAL." European Chemical Bulletin 11 (2022), 38-43. doi:10.31838/ecb/2022.11.05.006



MLA (The Modern Language Association) Style

Sameh M. Abdel Monem. "MENINGITIS RAPID DIAGNOSTIC TEST FOR CASE MANAGEMENT IN A FEVER HOSPITAL." European Chemical Bulletin 11.5 (2022), 38-43. Print. doi:10.31838/ecb/2022.11.05.006



APA (American Psychological Association) Style

Sameh M. Abdel Monem (2022) MENINGITIS RAPID DIAGNOSTIC TEST FOR CASE MANAGEMENT IN A FEVER HOSPITAL. European Chemical Bulletin, 11 (5), 38-43. doi:10.31838/ecb/2022.11.05.006