Neonatal meningitis in Northern Jordan

A. S. Daoud, M. Al-Sheyyab, F. Abu-Ekteish, A. Obeidat, A. A. Ali, H. El-Shanti

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

A two-and-a-half year prospective study of neonatal meningitis in the two main referral hospitals in Northern Jordan was carried out to determine the clinical spectrum and particular characteristics of meningitis in the newborn. The 53 cases studied represented an incidence of 1.1 per 1000 live births. The commonest bacterial pathogen isolated was Klebsiella species (40 per cent) followed by Enterobacter (19 per cent). The mortality rate and neurological sequelae among surviving children were 32 and 39 per cent, respectively, with higher rates among preterm/low birth weight and early onset meningitis groups. Of the presenting clinical features, there was a highly positive association between two risk factors and outcome. A bulging anterior fontanelle was the only significant predictor of mortality (P = 0.009) and altered sensorium was the only predictive of post-meningitis sequelae (P = 0.016). The need to recognize that Klebsiella species is an increasingly important pathogen; cefotaxime or ceftazidime plus ampicillin are the most appropriate antibiotics to be used initially, and continuous surveillance thereafter have been stressed.

Original languageEnglish
Pages (from-to)267-270
Number of pages4
JournalJournal of Tropical Pediatrics
Volume42
Issue number5
Publication statusPublished - Oct 1996
Externally publishedYes

Fingerprint

Jordan
Meningitis
Klebsiella
Cranial Fontanelles
Enterobacter
Ceftazidime
Cefotaxime
Mortality
Premature Birth
Live Birth
Low Birth Weight Infant
Ampicillin
Referral and Consultation
Newborn Infant
Prospective Studies
Anti-Bacterial Agents
Incidence

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Immunology

Cite this

Daoud, A. S., Al-Sheyyab, M., Abu-Ekteish, F., Obeidat, A., Ali, A. A., & El-Shanti, H. (1996). Neonatal meningitis in Northern Jordan. Journal of Tropical Pediatrics, 42(5), 267-270.

Neonatal meningitis in Northern Jordan. / Daoud, A. S.; Al-Sheyyab, M.; Abu-Ekteish, F.; Obeidat, A.; Ali, A. A.; El-Shanti, H.

In: Journal of Tropical Pediatrics, Vol. 42, No. 5, 10.1996, p. 267-270.

Research output: Contribution to journalArticle

Daoud, AS, Al-Sheyyab, M, Abu-Ekteish, F, Obeidat, A, Ali, AA & El-Shanti, H 1996, 'Neonatal meningitis in Northern Jordan', Journal of Tropical Pediatrics, vol. 42, no. 5, pp. 267-270.
Daoud AS, Al-Sheyyab M, Abu-Ekteish F, Obeidat A, Ali AA, El-Shanti H. Neonatal meningitis in Northern Jordan. Journal of Tropical Pediatrics. 1996 Oct;42(5):267-270.
Daoud, A. S. ; Al-Sheyyab, M. ; Abu-Ekteish, F. ; Obeidat, A. ; Ali, A. A. ; El-Shanti, H. / Neonatal meningitis in Northern Jordan. In: Journal of Tropical Pediatrics. 1996 ; Vol. 42, No. 5. pp. 267-270.
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