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Risk Factors in Children Older Than 5 Years With Pneumococcal Meningitis: Data From a National Network.

Abstract The occurrence of meningitis in children >5 years old may be associated with specific predisposing factors that can be anatomic, such as cerebrospinal fluid fistula or breach, or related to genetic susceptibility or N inborn or acquired immunologic defect. This study aimed to assess the anatomical and immunologic risk factors in children >5 years old with pneumococcal meningitis and prospectively enrolled in the French national meningitis network.
PMID
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Risk Factors in Children Older than 5 Years with Pneumococcal Meningitis: Data from a National Network.

Authors

Mayor MeshTerms

Vaccination

Keywords
Journal Title the pediatric infectious disease journal
Publication Year Start




PMID- 28403047
OWN - NLM
STAT- MEDLINE
DA  - 20170413
DCOM- 20170420
LR  - 20170420
IS  - 1532-0987 (Electronic)
IS  - 0891-3668 (Linking)
VI  - 36
IP  - 5
DP  - 2017 May
TI  - Risk Factors in Children Older Than 5 Years With Pneumococcal Meningitis: Data
      From a National Network.
PG  - 457-461
LID - 10.1097/INF.0000000000001470 [doi]
AB  - BACKGROUND: The occurrence of meningitis in children >5 years old may be
      associated with specific predisposing factors that can be anatomic, such as
      cerebrospinal fluid fistula or breach, or related to genetic susceptibility or N 
      inborn or acquired immunologic defect. This study aimed to assess the anatomical 
      and immunologic risk factors in children >5 years old with pneumococcal
      meningitis and prospectively enrolled in the French national meningitis network. 
      METHODS: We analyzed all data for children who were 5-15 years old with a
      diagnosis of pneumococcal meningitis between 2001 and 2013. We describe the
      frequency and typology of the anatomic or immunologic risk factors, the clinical 
      features and the pneumococcal serotypes. RESULTS: Among the 316 patients with
      pneumococcal meningitis, the mortality rate was 9.5% and 23.1% of cases presented
      complications (abscess, coma, hemodynamic failure, thrombophlebitis cerebral or
      deafness). In total, 108 children (34%) showed risk factors, the most frequent
      being anatomic: 70 cases (22.8%) were related to a cerebrospinal fluid breach or 
      fistula and 55 (17.9%) to immunodeficiency, primary or acquired. Serotype data
      were available for 207 pneumococcal isolates (65.5%). The most frequent serotypes
      were as follows: 3, 18C, 19A and 19F between 2001 and 2009 and 19F, 3, 19A, 12F, 
      22F, 17F and 24F after 2009. CONCLUSIONS: We describe the largest cohort of
      children >5 years old with pneumococcal meningitis. One third of the children had
      risk factors justifying a complete immunologic and radiologic work-up.
FAU - Henaff, Fanny
AU  - Henaff F
AD  - From the *Urgences pediatriques, CHU Nantes, Hopital Mere-Enfant, 44093 Nantes,
      France; daggerACTIV, Association Clinique et Therapeutique Infantile du Val de
      Marne, 94100 Saint-Maur des Fosses, France; double daggerUniversite Paris Est,
      IMRB-GRC GEMINI, 94000 Creteil, France; section signUnite Court Sejour, Petits
      Nourrissons, Service de Neonatologie, Centre Hospitalier Intercommunal de
      Creteil, 94000 Creteil, France; paragraph signLaboratoire de genetique humaine
      des maladies infectieuses, institut national de la sante et de la recherche
      medicale, UMR1163, Institut IMAGINE, 75015 Paris, France; ||Faculte de medecine
      de Necker, Universite Paris V Rene-Descartes, 75015 Paris, France; **Centre
      d'etudes des deficits immunitaires (CEDI), AP-HP, hopital Necker-Enfants-Malades,
      75015 Paris, France; daggerdaggerCentre National de Reference des Pneumocoques,
      AP-HP, HEGP (Hopital Europeen Georges Pompidou), Universite Paris V, 75006 Paris,
      France; and double daggerdouble daggerPediatrie generale, CHU Nantes, Hopital
      Mere-Enfant, 44093 Nantes, France.
FAU - Levy, Corinne
AU  - Levy C
FAU - Cohen, Robert
AU  - Cohen R
FAU - Picard, Capucine
AU  - Picard C
FAU - Varon, Emmanuelle
AU  - Varon E
FAU - Gras Le Guen, Christele
AU  - Gras Le Guen C
FAU - Launay, Elise
AU  - Launay E
CN  - French Group of Pediatric Infectious Diseases (GPIP)
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Pediatr Infect Dis J
JT  - The Pediatric infectious disease journal
JID - 8701858
RN  - 0 (Pneumococcal Vaccines)
SB  - IM
MH  - Abscess/diagnosis/etiology/mortality/prevention & control
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Coma/diagnosis/etiology/mortality/prevention & control
MH  - Deafness/diagnosis/etiology/mortality/prevention & control
MH  - Female
MH  - France
MH  - Humans
MH  - Immunologic Deficiency Syndromes/complications/*diagnosis/mortality/*prevention &
      control
MH  - Male
MH  - Meningitis, Pneumococcal/complications/*diagnosis/mortality/prevention & control
MH  - Pneumococcal Vaccines/*administration & dosage
MH  - Prospective Studies
MH  - Risk Factors
MH  - Serogroup
MH  - Streptococcus pneumoniae/classification/isolation & purification/*pathogenicity
MH  - Survival Analysis
MH  - Thrombophlebitis/diagnosis/etiology/mortality/prevention & control
MH  - *Vaccination
EDAT- 2017/04/14 06:00
MHDA- 2017/04/21 06:00
CRDT- 2017/04/14 06:00
AID - 10.1097/INF.0000000000001470 [doi]
AID - 00006454-201705000-00004 [pii]
PST - ppublish
SO  - Pediatr Infect Dis J. 2017 May;36(5):457-461. doi: 10.1097/INF.0000000000001470.

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