title: Outcomes of bacterial meningitis in children.
abstract: OBJECTIVE
  Pediatricians are well aware of the immediate risks of bacterial meningitis in children. However, the long-term outcome of the disease has not been extensively studied. We aimed: (i) to evaluate the duration and quality of the long-term follow-up of children diagnosed with bacterial meningitis in a general pediatric department, (ii) to estimate the incidence of sequelae at the various stages of follow-up, and (iii) to compare our data with that of other studies.
  
  
  METHODS
  We conducted a retrospective study and included 34 children (3 months-15 years) who had been hospitalized for bacterial meningitis in the pediatric department of a University Hospital between January 1st, 2001 and December 31st, 2013.
  
  
  RESULTS
  Overall, 32% of patients presented with sequelae and 15% with seizures. Only one patient presented with hearing loss, but 23.5% of patients did not have any hearing test performed. Seven patients had a neuropsychological assessment performed and no severe neuropsychological sequela was observed in this group. The average follow-up duration increased during the study period (from 23 to 49months). The long-term follow-up modalities observed in other studies were highly variable. Assessing the incidence and severity of sequelae was therefore difficult.
  
  
  CONCLUSIONS
  A standardized follow-up should be implemented by way of a national surveillance network of children presenting with bacterial meningitis.
authors.affiliation: Service de pédiatrie, hôpital Jean-Verdier, université Paris 13, AP-HP, 93140 Bondy, France. Electronic address: coralie.briand@hotmail.fr.
authors.forename: C
authors.initials: C
authors.lastname: Briand
authors.affiliation: Centre de recherche clinique, centre hospitalier intercommunal Créteil, 40, avenue de Verdun, 94000 Créteil, France; Association clinique et thérapeutique infantile du Val-de-Marne (ACTIV), 27, rue Inkermann, 94100 Saint-Maur-des-Fossés, France; Groupe de pathologie infectieuse pédiatrique, 57, avenue de la Californie, 06200 Nice, France.
authors.forename: C
authors.initials: C
authors.lastname: Levy
authors.affiliation: Service de pédiatrie, hôpital Jean-Verdier, université Paris 13, AP-HP, 93140 Bondy, France.
authors.forename: F
authors.initials: F
authors.lastname: Baumie
authors.affiliation: Service de pédiatrie, hôpital Jean-Verdier, université Paris 13, AP-HP, 93140 Bondy, France.
authors.forename: L
authors.initials: L
authors.lastname: Joao
authors.affiliation: Association clinique et thérapeutique infantile du Val-de-Marne (ACTIV), 27, rue Inkermann, 94100 Saint-Maur-des-Fossés, France.
authors.forename: S
authors.initials: S
authors.lastname: Béchet
authors.affiliation: Service de microbiologie, hôpital Jean-Verdier, université Paris 13, AP-HP, 93140 Bondy, France.
authors.forename: E
authors.initials: E
authors.lastname: Carbonnelle
authors.affiliation: Service de pédiatrie, hôpital Trousseau, université Paris 6, AP-HP, 75012 Paris, France; Groupe de pathologie infectieuse pédiatrique, 57, avenue de la Californie, 06200 Nice, France.
authors.forename: E
authors.initials: E
authors.lastname: Grimprel
authors.affiliation: Association clinique et thérapeutique infantile du Val-de-Marne (ACTIV), 27, rue Inkermann, 94100 Saint-Maur-des-Fossés, France; Unité des petits nourrissons, service de pédiatrie, centre hospitalier intercommunal Créteil, 40, avenue Verdun, 94000 Créteil, France; Groupe de pathologie infectieuse pédiatrique, 57, avenue de la Californie, 06200 Nice, France.
authors.forename: R
authors.initials: R
authors.lastname: Cohen
authors.affiliation: Service de pédiatrie, hôpital Jean-Verdier, université Paris 13, AP-HP, 93140 Bondy, France; Groupe de pathologie infectieuse pédiatrique, 57, avenue de la Californie, 06200 Nice, France.
authors.forename: J
authors.initials: J
authors.lastname: Gaudelus
authors.affiliation: Service de pédiatrie, hôpital Jean-Verdier, université Paris 13, AP-HP, 93140 Bondy, France; Groupe de pathologie infectieuse pédiatrique, 57, avenue de la Californie, 06200 Nice, France.
authors.forename: L
authors.initials: L
authors.lastname: de Pontual
mesh_terms: D000293:Adolescent; D001925:Brain Damage, Chronic / Q000453:epidemiology / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D004827:Epilepsy / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D006261:Headache / Q000453:epidemiology / Q000209:etiology; D034381:Hearing Loss / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D007223:Infant; D008297:Male; D008569:Memory Disorders / Q000453:epidemiology / Q000209:etiology*; D016920:Meningitis, Bacterial / Q000150:complications*; D009483:Neuropsychological Tests; D004856:Postural Balance; D012189:Retrospective Studies; D012678:Sensation Disorders / Q000453:epidemiology / Q000209:etiology
keywords: Bacterial meningitis; Méningite bactérienne; Neuropsychologie; Neuropsychology; Pediatrics; Pédiatrie; Sequelae; Séquelles