Prevalence and outcome of bacterial meningitis among children of less than 10 years along the Kilombero valley in Morogoro, Tanzania
INTRODUCTION: Bacterial meningitis is among the febrile, lethal and life-threatening diseases in neonates and children under 10 years, especially in low-income countries. The study determined the prevalence and outcome of the disease among neonates, infants and children less than 10 years admitted at St. Francis Referral Hospital.
METHODS: A hospital-based study was carried out among 856 children less than ten years, with or without fever for 10 months; clinical and laboratory records were reviewed. Data analysis was done using Chi-square and independent t-test to establish the odds ratio of acquiring the disease.
RESULTS: Out of 856 records of children with fever 656 had signs of meningitis, 71 children underwent lumbar puncture where 49.3% and 50.7% were female and male respectively; Aged 0 - 2 years (47.9%), 3 – 5 years (19.7%) and 6 – 10 years (32.4%). 62% of the patients had neurological signs, 56.3% had >45mmol/dl CSF (cerebrospinal fluid) glucose concentration and 85.9% had >50mg/dl of the CSF protein concentration. Escherichia coli, Klebsiella pneumoniae, Haemophilus influenzae and Neisseria meningitides were mostly isolated from the CSF samples at the hospital. Location (OR) = 3.1; p = 0.0017), parity of the mother (OR = 3.8; p = 0.008), Neurological signs (OR = 4.5; p = 0.001) and elevated CSF protein (OR = 4.5; p = 0.001) were the factors associated with bacterial meningitis infection among children.
CONCLUSION: Meningitis is a life-threatening infection in children under 10 years. Thus, microbial isolation should be established in most hospitals to improve early case identification and reporting at health facilities and the national level.
Authors retain full copyright, ownership and publishing rights of their articles without restrictions. As of October 2018, the RMJ uses the Creative Commons Attribution-NonCommercial-NoDerivs (CC BY-NC-ND) license (click here). By submitting to the RMJ authors are deemed to be giving a license to publish to the RMJ, whilst maintaining their own copyright ownership.