Tip 46: meningitis

The incidence of neonatal meningitis is 2-3/10,000 births. The most common organisms are:

1. GBS

2. Gram negative bacilli (E-coli, Haemophilus influenzae).

3. Streptococcus pneumoniae.

Listeria is less common than 20 years ago.

Long term complications include hydrocephalus, seizures, hemiparesis, deafness & visual impairment. Mortality remains high (20-30%).

Reference:

Levene, M.I., Chervanak, F.A., 2009. Fetal and Neonatal Neurology and Neurosurgery. 4th Edition. London: Churchill Livingstone.

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This entry was posted in Infection, Neurology. Bookmark the permalink.

2 Responses to Tip 46: meningitis

  1. Owen Hughes says:

    We have had 2 GBS menigitis in our unit in a week last week and get about 6,000 births/yr so an unusual week. Both doing well. Also strep pneumonia is gram positive isn’t it?

    • neonataltips says:

      Dear Owen,
      Yes, thank you! That one slipped past my editing sieve. I’ll change it.
      We had 1 GBS meningitis last year for 7,500 deliveries. Glad your two babies are doing well!
      Hazel

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