title: Surveillance of invasive infection in children and adults admitted to QECH, Blantyre, 1996-2002.
abstract: This is a report of blood CSF isolates from the adults medical and paediatric of wards QECH, Blantyre, cultured and identified at the Welcome Trust Research Laboratories during 1996-2002. The commonest causes of adults and children bacteraemia were non-typhoidal Salmonella (35% of all blood isolates for adults and children) and Streptococcus pneumoniae (14% and 13% respectively). Cryptococcus neoformans was the commonest isolates from CSF of adults with meningitis(67%) but was very rare in children. S.pneumoniae was the commonest cause of bacterial meningitis in children and adults (38% and 28% of all CSF isolates respectively). Haemophilus influenzae type b was also a common cause of meningitis in children (27%). Data of in vitro antibiotic sensitivity are also reported. A major concern is the recent marked rise of chloramphenicol resistance among Salmonella enteritidis and Salmonella typhimurium to over 80% resistance.
authors.affiliation: Malawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine.
authors.forename: L K
authors.initials: LK
authors.lastname: Wilson
authors.affiliation: Malawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine.
authors.forename: A
authors.initials: A
authors.lastname: Phiri
authors.affiliation: Malawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine.
authors.forename: D
authors.initials: D
authors.lastname: Soko
authors.affiliation: Malawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine.
authors.forename: M
authors.initials: M
authors.lastname: Mbvwinji
authors.affiliation: Malawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine.
authors.forename: A L
authors.initials: AL
authors.lastname: Walsh
authors.affiliation: Malawi-Liverpool-Wellcome Trust Clinical Research Programme, College of Medicine.
authors.forename: M E
authors.initials: ME
authors.lastname: Molyneux