Document Type : New and original researches in the field of Microbiology.
Authors
1
Department of Neurology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
2
Department of Medical Microbiology and Immunology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
3
Department of Pediatrics, Faculty of Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
4
Department of Infectous and Endemic Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
5
Department of Clinical Pathology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Abstract
Introduction: Acute Bacterial Meningitis (ABM) are a potent cause of morbidity and mortality in all age groups, with long-term neurological disability. Objective: to determine the neurological events and bacterial pathogens, isolated from cerebrospinal fluids of suspected bacterial meningitis cases. Methods: Descriptive study included 181 cerebrospinal fluid from suspected ABM cases, aged from 13 to 26 years old, Biochemical, hematological tests, and bacteriological culture were done. Results: The most cerebrovascular symptoms were ventriculoperitoneal (VP) shunt (13.3%), convulsions (10.5%) then brain edema (8.3%), commonest CSF bacterial pathogens were Streptococcus species, E.coli and N. Meningitidis. The susceptibility pattern for isolated bacteria to Meropenam, Levofloxacin, Ciprofloxacin, Rifampicin and Ampicillin were 95%, 85%, 82.5%, 75% and 70%, respectively.Conclusion: Gram negative bacteria show highest susceptibility to Aztroenam and highest susceptibility to Erythromycin for Streptococcus spp. Ampicillins and cephalosporins are still active in the treatment of ABM.
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