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The Causative Organisms of Bacterial Meningitis in Korean Children in 1996-2005

Authors
Cho, Hye KyungLee, HyunjuKang, Jin HanKim, Kwang NamKim, Dong SooKim, Yun KyungKim, Jung SooKim, Jong-HyunKim, Chang HwiKim, Hwang MinPark, Su-EunOh, Sung HeeChung, Eun HeeCha, Sung HoChoi, Young YounHur, Jae KyunHong, Young JinLee, Hoan JongKim, Kyung-Hyo
Issue Date
6월-2010
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Meningitis; Bacterial; Etiology; Epidemiology; Streptococcus pneumoniae; Haemophilus influenzae; Streptococcus agalactiae; Neisseria meningitidis
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.25, no.6, pp.895 - 899
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
25
Number
6
Start Page
895
End Page
899
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/116353
DOI
10.3346/jkms.2010.25.6.895
ISSN
1011-8934
Abstract
Bacterial meningitis remains a serious cause of morbidity and mortality in childhood, despite the availability of effective vaccines against Haemophilus influenzae type b (Hib) or Streptococcus pneumoniae. The purpose of this study was to analyze data on bacterial meningitis cases in Korea from 1996 through 2005. The information of all hospitalized bacteria-proven meningitis cases was obtained from 17 university hospitals nationwide. A total of 402 cases were identified. Of these, 125 (29.9%) cases were neonates. Streptococcus agalactiae was the most common bacteria responsible for 99 (24.6%) of all cases regardless of age, followed by S. pneumoniae for 91 (22.6%) and H. influenzae for 67 (16.7%) patients. The common etiology beyond the neonatal period was S. pneumoniae for 91 (33.0%) followed by H. influenzae for 63 (22.8%) patients. The overall case fatality rate was 9.4%, which was similar with that in 1986-1995. In conclusion, S. agalactiae, S. pneumoniae and H. influenzae were important etiologic agents of bacterial meningitis in children in the last 10 yrs. It is required to establish the preventive strategy of the three bacteria. The nationwide epidemiologic study should be continued to evaluate immunization strategy and efficacy.
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