E-ISSN 1858-8360 | ISSN 0256-4408
 

Original Article 


Rapid Test for Diagnosis of Bacterial Meningitis and Short Term Outcome in Children Under Five Years in Omdurman Hospital, Sudan

Karim-Eldin M. A. Salih, El-Nageeb S. Saeed, Mubarak S. Karsani, Rehab El-Ageb, Salah A. Ibrahim.

Abstract
In the Sudan, acute bacterial meningitis (ABM) remains a major threat for children under five. The objectives of this study were to determine the causative agents of acute bacterial meningitis by using rapid diagnostic techniques and study the short term outcome. During a six-month period, a total of 117 patients clinically diagnosed as ABM in Omdurman Children's Hospital, were investigated using latex agglutination test (serology) and polymerase chain reaction (PCR). The cerebrospinal fluid tested using serology was positive forABM inSO (42.73%) cases of whom 22 (44.0% ), 18 (36.0%) and 10 (20.0%) cases were due to Haemophilius influenzaetype b(Hib), Neisseria meningitides (MCM)and Streptococcus pneumoniae (SPM), respectively. The PCR showed S8 (S4.7%) positive cases of which MCM, Hib and SPM comprised 37 (63.79%), 11 (10.37%) and 10 (9.43%) cases, respectively. The PCR test proved to be a better diagnostic tool particularly for MCM (p<0.001). In Toto, the study showed that the main
causative agents of ABM in children under five were Neisseria meningitides in 51% (n=SS),Haemophilius influenzaetype b in 31% (n=33) and Streptococcus pneumonia in 18% (n=20). Ten of the patients developed neurological complications and three cases died giving a case fatality rate of 2.8%. The need for rapid diagnostic tests to diagnose ABM in order to lower under-S morbidity and mortality cannot be overemphasized.

Key words: Haemophilous inflaenzae type b, meningitis, Niesseria meningitides, Streptococcal pneumoniae meningitis, Sudan.


 
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How to Cite this Article
Pubmed Style

Salih KMA, Saeed ES, Karsani MS, El-Ageb R, Ibrahim SA. Rapid Test for Diagnosis of Bacterial Meningitis and Short Term Outcome in Children Under Five Years in Omdurman Hospital, Sudan.


Web Style

Salih KMA, Saeed ES, Karsani MS, El-Ageb R, Ibrahim SA. Rapid Test for Diagnosis of Bacterial Meningitis and Short Term Outcome in Children Under Five Years in Omdurman Hospital, Sudan. http://www.sudanjp.com/?mno=105984 [Access: November 24, 2021].


AMA (American Medical Association) Style

Salih KMA, Saeed ES, Karsani MS, El-Ageb R, Ibrahim SA. Rapid Test for Diagnosis of Bacterial Meningitis and Short Term Outcome in Children Under Five Years in Omdurman Hospital, Sudan.



Vancouver/ICMJE Style

Salih KMA, Saeed ES, Karsani MS, El-Ageb R, Ibrahim SA. Rapid Test for Diagnosis of Bacterial Meningitis and Short Term Outcome in Children Under Five Years in Omdurman Hospital, Sudan.



Harvard Style

Salih, K. M. A., Saeed, . E. S., Karsani, . M. S., El-Ageb, . R. & Ibrahim, . S. A. (2010) Rapid Test for Diagnosis of Bacterial Meningitis and Short Term Outcome in Children Under Five Years in Omdurman Hospital, Sudan.



Turabian Style

Salih, Karim-Eldin M. A., El-Nageeb S. Saeed, Mubarak S. Karsani, Rehab El-Ageb, and Salah A. Ibrahim. 2010. Rapid Test for Diagnosis of Bacterial Meningitis and Short Term Outcome in Children Under Five Years in Omdurman Hospital, Sudan.



Chicago Style

Salih, Karim-Eldin M. A., El-Nageeb S. Saeed, Mubarak S. Karsani, Rehab El-Ageb, and Salah A. Ibrahim. "Rapid Test for Diagnosis of Bacterial Meningitis and Short Term Outcome in Children Under Five Years in Omdurman Hospital, Sudan."



MLA (The Modern Language Association) Style

Salih, Karim-Eldin M. A., El-Nageeb S. Saeed, Mubarak S. Karsani, Rehab El-Ageb, and Salah A. Ibrahim. "Rapid Test for Diagnosis of Bacterial Meningitis and Short Term Outcome in Children Under Five Years in Omdurman Hospital, Sudan."



APA (American Psychological Association) Style

Salih, K. M. A., Saeed, . E. S., Karsani, . M. S., El-Ageb, . R. & Ibrahim, . S. A. (2010) Rapid Test for Diagnosis of Bacterial Meningitis and Short Term Outcome in Children Under Five Years in Omdurman Hospital, Sudan.





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