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2. Pneumococcal Meningitis Burden in Children Admitted Under 5 Years at Saidu Teaching Hospital Swat

Ihsan ul Haq, Sajjad Hussain, Salman Mustaan Khan, Sardar Khan, Zahir Syed and Samreen Khan

ABSTRACT

Objective: To estimate the burden of pneumococcal meningitis in hospital admitted children under 5 years.

Study Design: Descriptive / cross sectional study

Place and Duration of Study: This study was conducted at the Department of Pediatrics, Saidu Group of Teaching Hospital Swat over a period of 2 years (from September 2016 to August 2018.

Materials and Methods: A total of 246 patients with the clinical suspicion of meningitis were selected for the study. The parents were explained the need for doing lumbar puncture to rule out or confirm the disease. Minimum 3ml of CSF was collected and was sent immediately to the laboratory Saidu Group of Teaching Hospital swat along with the CSF examination request form.

Results: The mean age of the patients was 11.6±4.1 months. There were 189(77%) patients in the age range of 1-12 months, 30(12%) in the age range of 13-24 months, 10(4%) in the age range of 25-36 months and 17(7%) in the age range of 49-60 months. There were 154(62.6%) male and 92 (37.4%) female patients. Pneumococcal meningitis was found in 7 patients. Neisseria meningitides were isolated in 5 patients and H influenza in3 patients.

Conclusion: Seven cases of pneumococcal meningitis were found in this study, making streptococcus pneumoniae as the commonest bacteria isolated followed by meningococcus on second number necessitating the need for meningococcal vaccination.

Key Words: Streptococcus Pneumoniae, Meningitis, Serotypes, Pneumococcal isolates, Meningococcus, Sensitivity pattern.

Citation of articles: Haq I, Hussain S, Khan SM, Khan S, Syed Z, Khan S. Pneumococcal Meningitis Burden in Children Admitted Under 5 Years at Saidu Teaching Hospital Swat. Med Forum 2019;30(5):7-11.