© 2003 BMJ Publishing Group & Royal College of Paediatrics and Child Health
Abstracts
Intensive care
| The first 150 words of the full text of this article appear below. |
K. Vijayakumar1, J.R. Edwards, P. Prabhakar1, I.K. Pople1, P.J. Murphy2, P.M. Sharples1.
1Department of Paediatric Neurology, Frenchay Hospital, Bristol; 2Paediatric Intensive Care Unit, Bristol Royal Hospital for Sick Children, UK
Introduction: Historically 1.9–2.8% of children developed hydrocephalus following bacterial meningitis. The changes in incidence and outcome of post-meningitic hydrocephalus with modern pediatric intensive care unit (PICU) management of meningitis have not been clearly defined.
Methods: A regional PICU database, incorporating clinical, radiological and outcome (Glasgow outcome score (GOS)) data of all admissions (1997–2001) for severe bacterial meningitis (n=129) was interrogated and cross-referenced with all records of children undergoing treatment of post-meningitic hydrocephalus (n=11) in the regional pediatric neurosurgical unit from 1997–2001. Regional figures for all cases of bacterial meningitis in children (n=513) were obtained from the Communicable Disease Surveillance Center.
Results: Hydrocephalus requiring shunting complicated 2.1% of all cases of bacterial meningitis. Both early (p=0.018)
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