Bacterial Meningitis in Infants Under 90 Days of Age: A Retrospective Single-Center Study
2024

Bacterial Meningitis in Infants Under 90 Days of Age

Sample size: 40 publication 10 minutes Evidence: moderate

Author Information

Author(s): Buttera Martina, Mazzotti Sofia, Zini Tommaso, Corso Lucia, Dallai Valeria, Miselli Francesca, Bedetti Luca, Rossi Katia, Spaggiari Eugenio, Iughetti Lorenzo, Lugli Licia, Berardi Alberto

Primary Institution: University of Modena and Reggio Emilia

Hypothesis

What are the epidemiology, clinical presentations, antibiotic treatments, and short-term outcomes of bacterial meningitis in infants under 90 days of age?

Conclusion

Preterm infants have higher rates of bacterial meningitis, brain lesions, or case fatalities, and early diagnosis and prompt antibiotic treatment are critical to improve outcomes.

Supporting Evidence

  • 44 episodes of meningitis were confirmed in 40 infants.
  • 70% of episodes occurred in preterm infants.
  • Two preterm infants died from meningitis-related complications.
  • Brain lesions were detected in 21% of episodes.

Takeaway

This study looked at babies with a serious infection called bacterial meningitis. It found that babies born early are more likely to get sick and have problems, so it's really important to find and treat this illness quickly.

Methodology

A retrospective analysis of infants with bacterial meningitis admitted to the NICU from January 2011 to December 2023.

Potential Biases

Potential misclassification of coagulase-negative staphylococci meningitis due to contamination.

Limitations

The study had a small sample size and was retrospective, which limited detailed analyses and may have led to underestimating the incidence of meningitis.

Participant Demographics

Among the 40 infants, 21 were males and 19 were females; 13 were full-term and 27 were preterm.

Statistical Information

P-Value

<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/children11121411

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