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Archives of Disease in Childhood 2003;88(Supplement 1):A30-A32; doi:10.1136/adc.88.suppl_1.A30
Copyright © 2003 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Archives of Disease in Childhood 2003;88:A30
© 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.

G76. INCIDENCE AND OUTCOME OF POST-MENINGITIC HYDROCEPHALUS

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) . . . [Full text of this article]


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