Abstract
All 42 cases of Klebsiella pneumoniae meningitis diagnosed between 1981 and 1991 were evaluated. These accounted for 13% of patients with blood and/or cerebrospinal fluid cultureproven bacterial meningitis. There was an increased incidence of K. pneumoniae meningitis from the first 6 years of study (7% to the last 5 years (16% K. pneumoniae became increasingly important not only in community-acquired meningitis but also in nosocomial meningitis. 12/13 nosocomial cases were patients who had undergone neurosurgical procedures. The overall mortality rate was 43% The mortality rate in patients with spontaneous meningitis was higher than that in patients with post-traumatic or postoperative meningitis. Factors that adversely affected mortality were age over 60, diabetes mellirus, and severe neurological deficits on admission. The use of third-generation cephalosporins did not reduce the mortality rate.
Original language | English |
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Pages (from-to) | 95-102 |
Number of pages | 8 |
Journal | Scandinavian Journal of Infectious Diseases |
Volume | 26 |
Issue number | 1 |
DOIs | |
State | Published - 1994 |
Externally published | Yes |