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Intensive care

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]