Características del manejo hospitalario y oportunidad de la consulta en pacientes con meningitis por Neiseria meningitidis y Haemophilus influenzae tipo b. Medellín, Colombia
Objective: To evaluate the characteristics of hospitable handling and the opportunity of consultation of patients with meningitis by Neisseria meningitidis and Haemophilus influenzae type b and its relation with the lethality and sequels. Methods: In Medellin (Colombia), we conducted a cross sectio...
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| Autores principales: | , , , |
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| Formato: | Artículo |
| Lenguaje: | español |
| Publicado: |
2005
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| Materias: | |
| Acceso en línea: | https://dialnet.unirioja.es/servlet/oaiart?codigo=4804731 |
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| Sumario: | Objective: To evaluate the characteristics of hospitable handling and the opportunity of consultation of patients with meningitis by Neisseria meningitidis and Haemophilus influenzae type b and its relation with the lethality and sequels.
Methods: In Medellin (Colombia), we conducted a cross sectional study, between January and November of 1997. Tne study population was constituted by 35 patients.
Results: 54,3% of tne patients presented meningitis by Neisseria meningitidis and 45,7% meningitis by Haemopnilus influenzae type b. Six patients ( 17.1 %) nad neurological sequelae and 5 patients (14.3%) died. 82,8% of tne patients received antibiotics contemplated in tne protocol of meningitis nandling. 37,1 % received steroids and 80.0% received cnemopropnylaxis. Statistically significant differences between wnose nas received steroids and tne appearance of sequels (p=0.02) was found. In average, tne patients consulted 1,8 days after tne beginning of symptoms. Statistically significant relation between tne letnality and meningococcal septic snock (p=0.03) was found too.
Conclusión: A deficient provision of antibiotics, steroids and cnemopropnylaxis was found. Additional studies are required to evaluate tne steroid use in relation to tne sequels, being tne contradictory results to tne informed ones in Literature. Key words: meningitis, sequels, letnality, antibiotics , steroids. |
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