PDF(Pubmed)
Abstract：
UNASSIGNED: understanding the epidemiological profile of a disease in a particular region allows for proper planning of public health resources for prevention, early diagnosis and treatment. In this present study, we describe the epidemiological profile of viral, fungal, tuberculous and bacterial meningitis among adults at National District Hospital (NDH), Free State province, over three years period (January 2017 to December 2019).
UNASSIGNED: a retrospective, observational study of all adult meningitis cases, managed at the National District Hospital (NDH) Bloemfontein, Free State Province, South Africa between January 2017 and December 2019.
UNASSIGNED: of the 236 case files reviewed, majority (93.2%; n=220) of the patients managed for meningitis were black, as well as males (55.5%; n = 131). Higher incidence was found between the ages 20 to 49 (81.7%). Of those who died, the majority (n = 14; 63.6%) were males, in the age group 40-49 (n = 7; 31.8%), had TB meningitis (n = 12; 54.5%), were HIV positive (n = 20; 90.9%), and had cell count <100 cells/mm3 (n = 10; 45.5%).
UNASSIGNED: our study suggests that combining information on patient demography, co-morbidities, clinical presentation, and examination findings can substantially contribute to raising clinical suspicion, leading to swift identification, diagnosis, and treatment of patients.
UNASSIGNED: a retrospective, observational study of all adult meningitis cases, managed at the National District Hospital (NDH) Bloemfontein, Free State Province, South Africa between January 2017 and December 2019.
UNASSIGNED: of the 236 case files reviewed, majority (93.2%; n=220) of the patients managed for meningitis were black, as well as males (55.5%; n = 131). Higher incidence was found between the ages 20 to 49 (81.7%). Of those who died, the majority (n = 14; 63.6%) were males, in the age group 40-49 (n = 7; 31.8%), had TB meningitis (n = 12; 54.5%), were HIV positive (n = 20; 90.9%), and had cell count <100 cells/mm3 (n = 10; 45.5%).
UNASSIGNED: our study suggests that combining information on patient demography, co-morbidities, clinical presentation, and examination findings can substantially contribute to raising clinical suspicion, leading to swift identification, diagnosis, and treatment of patients.
摘要：
■了解特定地区疾病的流行病学概况，可以适当规划预防公共卫生资源，早期诊断和治疗。在本研究中,我们描述了病毒的流行病学概况，真菌,国家地区医院（NDH）成人结核性和细菌性脑膜炎，自由邦省,三年以上（2017年1月至2019年12月）。
■回顾，所有成人脑膜炎病例的观察性研究，在国家地区医院（NDH）布隆方丹管理，自由州省,2017年1月至2019年12月之间的南非。
■在所审查的236份案卷中，大多数（93.2％;n=220）的脑膜炎患者是黑人，以及男性（55.5％；n=131）。在20至49岁之间发现较高的发病率（81.7％）。那些死去的人，大多数（n=14;63.6％）是男性，在40-49岁年龄组(n=7；31.8%)，患有结核性脑膜炎（n=12；54.5％），HIV阳性（n=20；90.9%），并且细胞计数<100个细胞/mm3(n=10;45.5%)。
■我们的研究表明，结合患者人口统计信息，合并症,临床表现,和检查结果可以大大有助于提高临床怀疑，导致快速识别，诊断,以及对患者的治疗。
■回顾，所有成人脑膜炎病例的观察性研究，在国家地区医院（NDH）布隆方丹管理，自由州省,2017年1月至2019年12月之间的南非。
■在所审查的236份案卷中，大多数（93.2％;n=220）的脑膜炎患者是黑人，以及男性（55.5％；n=131）。在20至49岁之间发现较高的发病率（81.7％）。那些死去的人，大多数（n=14;63.6％）是男性，在40-49岁年龄组(n=7；31.8%)，患有结核性脑膜炎（n=12；54.5％），HIV阳性（n=20；90.9%），并且细胞计数<100个细胞/mm3(n=10;45.5%)。
■我们的研究表明，结合患者人口统计信息，合并症,临床表现,和检查结果可以大大有助于提高临床怀疑，导致快速识别，诊断,以及对患者的治疗。
