THE ETIOLOGY OF MICROBIOLOGY CAUSING BACTERIAL MENINGITIS IN NEWBORNS AT THE NATIONAL CHILDREN’S HOSPITAL

Nguyen Thi Hang1, Khu Thi Khanh Dung2, Le Thi Ha2, Hoang Thi Bich Ngoc2
1 University of Medicine and Pharmacy, Vietnam National University, Hanoi
2 Vietnam National Children’s Hospital

##plugins.themes.vojs.article.main##

Tóm tắt

Objectives: Describing the microbial etiology of bacterial meningitis in infants treated at the National Children’s Hospital. Subjects and methods: A retrospective descriptive study on 42 medical records of newborns diagnosed and treated for bacterial meningitis at the Neonatal Center of the National Children’s Hospital from February 2019 - January 2023.


Results: GBS strain accounted for the highest proportion (73.4%), followed by E. coli (13.3%). The antibiotics Aztreonma, Imipenem, Meropenem, Amikacin, Cefotaxime, Moxifloxacin, Vancomycin, Ertapenem, Cefepime were also 100% sensitive to the bacteria tested. Resistance to Clindamycin, Erythromycine, Amoxicillin + Clavulanic Acid, Cefuroxime Aceti was resistant at a very high rate (100.0%). Resistance to the antibiotic Cefazolin appeared at a rate of 50.0%. Gentamycine resistance rate was 40.0%. Piperacillin + Tazobactam, Cefoxitin and Ciprofloxacin were all resistant at a rate of 33.3%.


Conclusion: Common bacterial strains causing meningitis were GBS (73.4%), E. coli (13.3%). The antibiotics Aztreonma, Imipenem, Meropenem, Amikacin, Cefotaxime, Moxifloxacin, Vancomycin, Ertapenem, Cefepime were also sensitive to bacteria causing meningitis in newborns.

##plugins.themes.vojs.article.details##

Tài liệu tham khảo

1. Furyk JS, Swann O, Molyneux E. Systematic review: neonatal meningitis in the developing world. Tropical Medicine and International Healt 2011;16(6):672-679. https://doi.org/10.1111/j.1365-3156.2011.02750.x
2. Klinger G, Chin CN, Beyene J et al.Predicting the Outcome of Neonatal Bacterial Meningitis. Pediatrics 2000;106(3):477-482.https://doi.org/10.1542/peds.106.3.47
3. Nguyen Huu Chau Duc, Truong Thi Na, Tran Thi Hanh Chan. Study of clinical and paraclinical characteristics and treatment outcomes of bacterial meningitis in children. Journal of Clinical Medicine 2022;80, 54-58.https:// doi.org/10.38103/jcmhch.80.8
4. Basmaci R, Bonacorsi S, Bidet P et al.Escherichia Coli Meningitis Features in 325 Children From 2001 to 2013 in France. Clinical Infectious Diseases 2015;61(5):779-786. https://doi.org/10.1093/cid/civ367
5. Do Thien Hai. Epidemiological, clinical, paraclinical characteristics and treatment outcomes of bacterial meningitis in children treated at the National Children’s Hospital (2015 - 2016), Doctoral Thesis in Medicine, National Children’s Hospital 2018.
6. Vu Thi Kim Lien, Tran Thi Hai Au, Do Thi Quynh Nga. Rate and level of antibiotic resistance of Staphylococcus Aureus strains at Hue Central Hospital in 2013-2014. Journal of Preventive Medicine 2015;12(172):42.