A Prospective Study Of Etiology Of Childhood Acute Bacterial Meningitis, Turkey
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Date
2008Author
Ceyhan, Mehmet
Yildirim, Inci
Balmer, Paul
Borrow, Ray
Dikici, Bunyamin
Turgut, Mehmet
Kurt, Nese
Aydogan, Aysel
Ecevit, Cigdem
Anlar, Yasar
Gulumser, Ozlem
Tanir, Gonul
Salman, Nuran
Gurler, Nezahat
Hatipoglu, Nevin
Hacimustafaoglu, Mustafa
Celebi, Solmaz
Coskun, Yavuz
Alhan, Emre
Celik, Umit
Camcioglu, Yildiz
Secmeer, Gulten
Gur, Deniz
Gray, Steve
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Vaccines to prevent bacterial meningitis in this region must provide reliable protection against serogroup W-135., Determination of the etiology of bacterial meningitis and estimating cost of disease are important in guiding vaccination policies. To determine the incidence and etiology of meningitis in Turkey, cerebrospinal fluid (CSF) samples were obtained prospectively from children (1 month–17 years of age) with a clinical diagnosis of acute bacterial meningitis. Multiplex PCR was used to detect DNA evidence of Streptococcus pneumoniae, Haemophilus influenzae type b (Hib), and Neisseria meningitidis. In total, 408 CSF samples were collected, and bacterial etiology was determined in 243 cases; N. meningitidis was detected in 56.5%, S. pneumoniae in 22.5%, and Hib in 20.5% of the PCR-positive samples. Among N. meningitidis–positive CSF samples, 42.7%, 31.1%, 2.2%, and 0.7% belonged to serogroups W-135, B, Y, and A, respectively. This study highlights the emergence of serogroup W-135 disease in Turkey and concludes that vaccines to prevent meningococcal disease in this region must provide reliable protection against this serogroup.
URI
https://doi.org/10.3201/eid1407.070938https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2600347/
http://hdl.handle.net/11655/14240