Antibiotic Treatment, Case Fatality Rate, Children, Only, H. Influenzae Vaccine, Meningitis, Meningococcal Vaccines, Neonatal Infection, Pneumococcal Conjugate Vaccine
Conditions
Brief summary
Bacterial meningitis is a major cause of morbidity and mortality in childhood. Antibiotic treatment recommendations are based on epidemiological and susceptibility data. The epidemiology of bacterialméningitis has changed in recent years, mainly owing to widespread use of different conjugate vaccines. The aim of this prospective national survey is to describe epidemiology of bacteria implicated in bacterial meningitis in children.
Detailed description
For children under 18, hospitalized for bacterial meningitis, the following data will be analyzed: risk factors, vaccination status, signs of symptoms, treatment during hospitalization, analysis (cerebrospinal fluid culture, cerebrospinal fluid antigen test, blood culture...), symptoms or clinic signs of illness.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* clinical signs of meningitis, associated with positive cerebrospinal fluid (CSF) culture and/or positive CSF antigen testing (Escherichia coli K1, N. meningitidis serogroups B, A, C, Y and W-135, group B streptococci, Hib, or S. pneumoniae), and/or positive CSF polymerase chain reaction (PCR), and/or positive blood culture with CSF pleocytosis (\> 10 cells/µL). * purpura fulminans
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| mortality | before the hospital discharge | Number of death according to age and bacteria |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| treatment failures | 48 hours after the antibiotic treatment and new lumbar puncture | Number of antibiotic treatment failures according to bacteria after the control of lumbar puncture |
| impact of vaccines | before the hospital discharge | Number of vaccination failures according to age, number of doses and bacteria |
Countries
France
Contacts
Association Clinique Thérapeutique Infantile du val de Marne
Association Clinique Thérapeutique Infantile du val de Marne