09-08-2007, 08:19 PM
which is the most common cause of bacterial meningitis in adults: N. meningitidis or S. pneumoniae?
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which is mc cause of bacterial meningitis? - irida
which is mc cause of bacterial meningitis? - irida
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which is mc cause of bacterial meningitis? - irida
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09-08-2007, 08:25 PM
FA say N. meningitidis, but UW S.pneumoniae. Which one is right?
Please...
09-08-2007, 09:30 PM
Neisseria Meningitidis is MC in adults than Strep to my knowledge.. this is what i have been sticking with for quite some time now, and have been correctly answer q's. Elderly patients (60+ ull see more Strep). Cheers.
09-09-2007, 12:29 AM
agree with armani i guess that NM is more frequent in young adults ( peak 3-18yo) and strep is more frequent in elederly patients ( peak 50yo and/or immunocompromised...)
hope this helps...G.L/. good article from http://www.emedicine.com/med/topic2613.htm Raymund R Razonable, MD, Consultant, Division of Infectious Diseases, Mayo Clinic of Rochester; Assistant Professor of Medicine, Mayo Clinic College of Medicine ( Last Updated: Aug 28, 2007) Changing Epidemiology of Acute Bacterial Meningitis in the United States* Bacteria 1978-1981 1986 1995 H influenzae 48% 45% 7% Listeria 2% 3% 8% NM 20% 14% 25% S.AGALACT 3% 6% 12% STREP.P 13% 18% 47%
09-09-2007, 03:17 AM
s pn.: it is the most common bacterial cause of meningitis, accounting for 47% of cases. It is also associated with one of the highest mortality rates among the bacterial agents that cause meningitis (19-26%).
18-50 years means adult yes?
09-09-2007, 03:20 AM
Risk and/or Predisposing Factor Bacterial Pathogen Age 0-4 weeks S agalactiae (group B streptococci) E coli K1 L monocytogenes Age 4-12 weeks S agalactiae E coli H influenzae S pneumoniae N meningitidis Age 3 months to 18 years N meningitidis S pneumoniae H influenzae Age 18-50 years S pneumoniae N meningitidis H influenzae Age older than 50 years S pneumoniae N meningitidis L monocytogenes Aerobic gram-negative bacilli Immunocompromised state S pneumoniae N meningitidis L monocytogenes Aerobic gram-negative bacilli Intracranial manipulation, including neurosurgery Staphylococcus aureus Coagulase-negative staphylococci Aerobic gram-negative bacilli, including Pseudomonas aeruginosa Basilar skull fracture S pneumoniae H influenzae Group A streptococci CSF shunts Coagulase-negative staphylococci S aureus Aerobic gram-negative bacilli Propionibacterium acnes |
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