title: [Bacterial meningiditis in adult patients in Central African hospitals].
abstract: Bacterial meningitidis of the adult remain frequent and serious affections in spite of therapeutic progress. The authors report results from a retrospective study of 502 cases over 5 years. Hospital prevalence was 12.1%. These infections occur during the dry season between November and April in 75% of the cases. An important peak was observed in March, that is to say 24.5%. Patients' average age was 34.7 years old with extremes ranging from 15 to 80. The isolated micro-organisms were: the pneumococcus (45.2%), the meningococcus (14.5%), salmonella (1.6%) and the Haemophilus influenzae (1.2%). Meningitidis decapitated by a preliminary antibiotherapy represented 37,5%. Seroprevalence of the HIV infection during this work was 55.1%. Patients suffering from pneumococcus meningitis were contaminated by the HIV in 51.7% of the cases. Those suffering from meningococcus infection were infected with HIV in 52.9% of the cases. Those presenting meningitidis to Haemophilus influenzae and salmonellas had contracted the HIV respectively in 83% and 87.5% of the cases. The average duration of hospitalization was 14.2% days. The average mortality rate was 31.7% for the pneumococcus, 30. 1% for the meningococcus one. 53.4% of the patients recovered.
authors.affiliation: Service de neurologie, hôpital de l'Amitié, BP 3183, Bangui, République Centrafricaine. pascal.mbelesso@yahoo.fr
authors.forename: P
authors.initials: P
authors.lastname: Mbelesso
authors.forename: A
authors.initials: A
authors.lastname: Tatangba-Bakozo
authors.forename: V
authors.initials: V
authors.lastname: Fikouma
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002488:Central African Republic; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000453:epidemiology*; D008875:Middle Aged; D012189:Retrospective Studies