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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Long term sequelae of childhood acute bacterial meningitis in a developing country: A study from the Sudan
Scandinavian Journal of Infectious Diseases, Volume 23, No. 2, Year 1991
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Description
35 survivors of acute bacterial meningitis (ABM) from a group of 44 Sudanese children-seen during 18 months (April 1985-November 1986)-were prospectively followed to ascertain the long-term sequelae of the disease. 30 (17 with Haemophilus influenza, 8 Neisseria meningitidis, 4 Streptococcus pneumoniae and one child with Enterobacter cloacae meningitis) could be followed during the surveillance period (3-4 years). Three (10% including 2 with hemiplegia, died after 11-12 months. The association between motor deficit on discharge from hospital and subsequent death was significant (p=0.04). Of the remaining 27, neuropsychologic sequelae were recorded in 9 (33% Sensorineural hearing loss was observed in 6 (22% patients and improved in one during surveillance. Motor deficits were found to improve with time but were replaced by the development of epilepsy about 3 years later in 11% of the survivors. The mean IQ (±SD) score for a subgroup of 19 post-meningitic children (92.3±13.9) was found to be significantly lower than in their nearest-age sibling controls (100.7±10.2; p = <0.01). Younger age at admission and longer duration of ABM symptoms before treatment were significantly associated with poorer outcome (respectively, r=0.63, p= <0.01, r=0.67, p= <0.01). The potential impact of vaccination against the commonest organisms causing ABM in developing countries is discussed. © 1991 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.
Authors & Co-Authors
Salih, Mustafa Abdalla M.
Sudan, Khartoum
Khartoum University
Khaleefa, Omer Haroon
Sudan, Khartoum
Khartoum University
Bushara, M.
Sudan, Khartoum
Khartoum Teaching Hospital
Taha, Zubair B.
Sudan, Khartoum
Khartoum University
Musa, Zeinab A.
Sudan
University Paediatric Ward c2
Kamil, I.
Sudan, Khartoum
Khartoum University
Hofvander, Yngve
Sweden, Uppsala
Akademiska Sjukhuset
Olcén, Per Olof
Sweden, Orebro
Universitssjukhuset Örebro
Statistics
Citations: 56
Authors: 8
Affiliations: 5
Identifiers
Doi:
10.3109/00365549109023397
ISSN:
00365548
Research Areas
Disability
Health System And Policy
Maternal And Child Health
Study Locations
Sudan