154 Patients, who were hospitalised in M. Iashvili Childrens’s central hospital in 1998–2005 were investigated. In 70 cases the diagnosis was neonatal bacterial meningitis, in 62 cases – bacterial sepsis and neonatal meningitis and 22 cases patients were in control group with the diagnosis of neonatal bacterial sepsis.
From base investigation group – 132 patients were divided in two groups, in which patients were united by the starting point of disease from the birth: first group included newborns with signs of disease on earlier stage (signs of the disease showed up during 24–72 h from the birth); Second group included newborns with later signs of disease (after 72 h from the birth).
Our conclusion is – outcome of bacterial meningitis depends on the starting point of disease. Meningitis which began earlier than 72 h of life, characterised by severe prognosis. Mother’s chronical infection diseases and brain injury of newborn are predictors of severe complications of neonatal bacterial meningitis. Such complications of bacterial meningitis as are: brain abscess, ventriculitis, neonatal seizures, coma and neutropenia, become predictors of severe latest outcome.
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