[The etiological structure of acute bacterial meningitis in different regions].
In 1985-1989 the etiological structure of acute bacterial meningitides (ABM) in children was studied in 4 largest industrial cities in different regions of the European part of the former USSR, as well as in 2 industrial cities of western Siberia. Due to the common methodological approach used in all investigations, comparable data were obtained in all cities. These investigations revealed that meningococci caused 53.0-86.7% of all cases of ABM in children, which corresponded to moderately increased morbidity rate in meningococcal infection (3.9-11.0 cases per 100,000 of the population, mostly 5.0-7.0 cases) in these cities with its progressive decrease during 3-4 years of observation. The gradual change of meningococci from group A, prevailing in the '70s and early '80s, to group B and in some cases the appearance of group C meningococci, accompanied by a decrease in morbidity rate, were noted. In St. Petersburg the indices of ABM morbidity in children aged up to 5 years for 1987 and 1988, caused by Haemophilus influenzae (0.74 and 4.13) and pneumococci (3.23 and 4.86), could be calculated. A great number of ABM cases of unclear etiology (15.9-33.3%) suggests that the number of ABM cases caused by these two infective agents was underestimated.
Kostiukova
N N
NN
Korzhueva
N A
NA
Derkach
S A
SA
Bagirova
L Sh
LSh
Merzeniuk
Z A
ZA
Gul'man
L A
LA
Niiakaia
V N
VN
Volkova
M O
MO
D000208:Acute Disease; D000372:Agglutination Tests; D000907:Antibodies, Bacterial / Q000032:analysis; D002648:Child; D006386:Hemagglutination Tests; D006801:Humans; D016920:Meningitis, Bacterial / Q000209:etiology* / Q000276:immunology / Q000382:microbiology; D008585:Meningitis, Meningococcal / Q000209:etiology / Q000276:immunology / Q000382:microbiology; D009345:Neisseria meningitidis / Q000145:classification / Q000276:immunology; D012703:Serotyping; D014586:USSR; D014505:Urban Population
D000907:Antibodies, Bacterial
Etiologicheskaia struktura ostrykh bakterial'nykh meningitov v razlichnykh regionakh.