Professional paper
The most common causes of bacterial meningitis in patients treated at the University Hospital for Infectious Diseases "Dr. Fran Mihaljević" in the period from 2011 until 2013
Tatjana Tot
; Opća bolnica Karlovac, Karlovac, Hrvatska
Arjana Tambić Andrašević
; Klinika za infektivne bolesti "Dr. Fran Mihaljević", Zagreb, Hrvatska
Suzana Bukovski
; Klinika za infektivne bolesti "Dr. Fran Mihaljević", Zagreb i Medicinski fakultet Josip Juraj Strossmayer u Osijeku, Osijek, Hrvatska
Abstract
Although some pathogens are related to specific clinical presentations or epidemiological data, the etiology of bacterial meningitis is based on diagnostic microbiology. The main purpose of this paper was to present the frequency of pathogens isolated from patients hospitalized at the University Hospital for Infectious Diseases "Dr. Fran Mihaljević" in the period from 2011 until 2013. In this period, a total of 212 cases of bacterial meningitis were diagnosed by cultivation and/or by molecular method. There were 108 (50,94 %) community-acquired and 104 (49,06%) nosocomial pathogens isolated. The most common community-acquired pathogens were Streptococcus pneumoniae 18,83% (42/212 isolates), Neisseria meningitidis 14,79% (33/212) and Listeria monocytogenes 7,17% (16/212) and in the neonatal age Streptococcus agalactiae (3/6). Coagulase-negative staphylococci (CoNS) were the most common nosocomial isolates 16,98% (36/212), followed by Staphylococcus aureus 8,49% (18/212), Pseudomonas aeruginosa 6,13% (13/212), Acinetobacter baumannii 5,19% (11/212) and Klebsiella pneumoniae 3,3% (7/212). As expected, higher rates of resistance were recorded in nosocomial pathogens.
Keywords
Bacterial meningitis; community-acquired pathogens; nosocomial pathogens; resistance
Hrčak ID:
133465
URI
Publication date:
30.6.2014.
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