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The causative organisms of bacterial meningitis in Korean children, 1986-1995

Authors
 Kyung Hyo Kim  ;  Young Mo Sohn  ;  Jin Han Kang  ;  Kwang Nam Kim  ;  Dong Soo Kim  ;  Jong Hyun Kim  ;  Chang Hwi Kim  ;  Young Kyoo Shin  ;  Sung Ho Cha  ;  Young Jin Hong  ;  Keun Chan Sohn 
Citation
 JOURNAL OF KOREAN MEDICAL SCIENCE, Vol.13(1) : 60-64, 1998 
Journal Title
 JOURNAL OF KOREAN MEDICAL SCIENCE 
ISSN
 1011-8934 
Issue Date
1998
MeSH
Adolescent ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Korea ; Male ; Meningitis, Bacterial/cerebrospinal fluid ; Meningitis, Bacterial/microbiology*
Abstract
Bacterial meningitis remains a serious cause of morbidity and mortality in childhood. Epidemiologic investigations have shown variability in disease risks among different populations and races. In Korea, however, basic epidemiologic information on bacterial meningitis in children is limited. The main purpose of this study was to analyze bacteriologically proven meningitis cases in terms of the relative frequency of causative organisms, mortality rate, and age distribution beyond the neonatal period. Data was obtained from the hospital records who had been diagnosed with bacterial meningitis at 13 general or university hospitals from 1986 through 1995. The patients had at least one positive CSF culture for bacteria. Of 140 cases of CSF culture-proven bacterial meningitis, 46.4% was ≤1 year, 62.1% was ≤2 years, 81.4% was ≤5 years cumulatively. Streptococcus pneumoniae was the most common bacteria responsible for 48 (35.0%) of all cases regardless of age, followed by Haemophilus influenzae for 48 (34.3%) and Neisseria meningitidis for 8 (6.4%) patients. The case fatality rate was 20.0%, 17.1%, and 16.7% for N. meningitidis, S. pneumoniae, and H. influenzae, respectively. In conclusion, the most common organisms of culture-proven bacterial meningitis in the last 10 years have been S. pneumoniae, H. influenzae, and N. meningitidis in order of frequency. Further study should be extended to nation-wide epidemiologic evaluation to show the incidence of bacterial meningitis caused by these three important organisms.
Files in This Item:
T199803057.pdf Download
DOI
10.3346/jkms.1998.13.1.60
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Soo(김동수)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177045
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