European Journal of Clinical Microbiology & Infectious Diseases

, 26:743

Prognostic factors in adult community-acquired bacterial meningitis: a 4-year retrospective study

  • F. A. Dauchy
  • D. Gruson
  • G. Chêne
  • J. Viot
  • C. Bebear
  • J. Maugein
  • M. C. Bézian
  • H. Dutronc
  • M. Dupon
Concise Article

DOI: 10.1007/s10096-007-0381-6

Cite this article as:
Dauchy, F.A., Gruson, D., Chêne, G. et al. Eur J Clin Microbiol Infect Dis (2007) 26: 743. doi:10.1007/s10096-007-0381-6

Abstract

The aim of this 4-year, observational, single-center study was to identify prognostic factors and evaluate the need for intensive care in cases of bacterial meningitis. During the study period, 60 cases of adult bacterial meningitis were identified. Fifty-one patients were transferred to the intensive care unit at various times during their hospital stay. In the multivariate analysis, factors significantly associated with the need for mechanical ventilation and/or vasopressive drugs included comorbidity and a Glasgow coma score of less than 12 at hour 6 following presentation. The results indicate patients with a decreased level of consciousness, neurological deficit or comorbidity should be admitted to the intensive care unit at an early stage of illness. When patients lack these criteria 6 h following presentation, admission to the medical ward is reasonable.

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • F. A. Dauchy
    • 1
  • D. Gruson
    • 2
  • G. Chêne
    • 3
  • J. Viot
    • 3
  • C. Bebear
    • 4
  • J. Maugein
    • 4
  • M. C. Bézian
    • 4
  • H. Dutronc
    • 1
  • M. Dupon
    • 1
  1. 1.CHU de Bordeaux, Hôpital Pellegrin, Fédération de Maladies infectieusesUniversité Victor Segalen Bordeaux 2Bordeaux cedexFrance
  2. 2.Département de Réanimation médicaleCHU de Bordeaux, Hôpital PellegrinBordeauxFrance
  3. 3.CHU de Bordeaux, Unité de soutien Méthodologique à la recherche clinique et épidémiologique, Université Victor Segalen Bordeaux 2Institut de Santé Publique d’Epidémiologie et de Développement (ISPED)Bordeaux cedexFrance
  4. 4.Laboratoire de bactériologieCHU de Bordeaux, Hôpital Pellegrin et hôpital SudBordeauxFrance