[Clinical-epidemiological assessment of bacterial meningitis in the province of Cordoba (1983-1989)].
533 cases of bacterial meningitis diagnosed in the province of Cordoba over a period of seven years are analyzed. 53.7% of the cases are in males, with 71.2% of the cases being detected in children under 14 (p less than 0.001). Greater incidence has been observed in Cordoba city than in the province, with a direct relationship being between morbidity and population density. The months with lower average temperature account for 45.6 por 100 of all the diagnosed cases of meningitis. By etiology, 51.9% were meningococcal meningitis, followed by meningitis produced by unknown germs (35.3%) and by H. influenzae. The illness developed in 91.3% of cases to a cure, with sequelae in 4.1% and death in 4.4%. Meningitis produced by H: influenzae was what caused most sequelae and that produced by S. pneumoniae was the most lethal. Isolated N. meningitidis presented 100% sensitivity to penicillin and cephalosporins, H. influenzae 91.7% chloramphenicol and only 28.3% to penicillin.
Fernández-Crehuet Navajas
R
R
Servicio de Medicina Preventiva, Hospital Regional Reina Sofía, Facultad de Medicina, Córdoba.
Martínez de la Iglesia
J
J
Serrano del Castillo
A
A
Pérula de Torres
L
L
D000293:Adolescent; D000328:Adult; D000368:Aged; D002511:Cephalosporins / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D002701:Chloramphenicol / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D008583:Meningitis, Haemophilus / Q000453:epidemiology; D008585:Meningitis, Meningococcal / Q000453:epidemiology; D008586:Meningitis, Pneumococcal / Q000453:epidemiology; D008875:Middle Aged; D010406:Penicillins / Q000627:therapeutic use; D012424:Rural Population; D013030:Spain / Q000453:epidemiology; D014505:Urban Population
D002511:Cephalosporins; D010406:Penicillins; D002701:Chloramphenicol
Valoración clínico-epidemiológica de la meningitis bacteriana en la provincia de Cordoba (1983-1989).