Erişkinlerde bakterili meninjit etkenleri

Özet

Meninjit kuşkulu 800 erişkin hastaya ilişkin beyin-omurilik sıvısı örnekleri bakteriyolojik yönden incelenmiştir. Örneklerin % 38.7'sinde bakteri üremesi saptanmış, % 61.3'ünde görülmemiştir. Saptanan etkenlerin dağılımı şu şekildedir: Streptococcus pneumoniae % 13.5, Neisseria meninaitidis % 4.5, Staphvlococcus aureus % 15.2, Haemophilus influenzae % 0.6, Escherichia coli % 26.7, Klebsiella pneumoniae % 5.1, Proteus mirabilis % 9, Citrobacter spp % 2.6, Enterobacter spp % 17, Salmonella tvphi % 0.3, Acinetobacter calcoaceticus% 1.6, Pseudomonas aeruainosa % 6.8, Borrelia buradorferi % 0.3, anaerop streptokoklar % 1.6, Clostridium spp % 2.9, Prooionibacterium acnes % 0.3, siyah pigmentli Gram-negatif anaerop çomaklar % 0.3, Fusobacterium mortiferum %0.6 ve Fusobacterium nucleatum % 0.3.

Abstract

Cerebrospinal fluid (CSF) samples belonging to 800 meningitis-suspected adult patients were bacterioiogically examined. Bacterial growth was observed in 38.7 % of the CSF samples. There was no growth in 61.3 of the samples. The etiologic agents observed were as follows: Streptococcus pneumoniae 13.5 %, Neisseria meninaitidis 4.5 %, Staphvlococcus aureus 15.2 %, Haemophilus influenzae 0.6 %, Escherichia coli 26.7 %, Klebsiella pneumoniae 5.1 %, Proteus mirabilis 9 %, Citrobacter spp 2.6 %, Enterobacter spp 17 %, Salmonella tvphi 0.3 %, Acinetobacter calcoaceticus 1.6 %, Pseudomonas aeruainosa 6.8 %, Borrelia buradorferi 0.3 %, anaerobic streptococci 1.6 %, Clostridium spp 2.9 %, Propionibacterium acnes % 0.3, black pigmented Gram-negative anaerobic bacilli 0.3 %, Fusobacterium mortiferum % 0.6 and Fusobacterium nucleatum 0.3 %.