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Are permanent disabilities missed in children with severe infections?: A long term followup study after bacterial meningitis
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
2017 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

AIM: Acute bacterial meningitis is associated with high risk of neurological disabilities, however less is known about other long-term sequalae. We aimed to analyse this risk and evaluated current follow-up recommendations.

METHODS: We used medical records from children aged one month to 17 years treated for acute bacterial meningitis in Västerbotten County, Sweden, during 1986-2015. From these, we extracted data to estimate the prevalence of the sequalae and assess the efficiency of current guidelines.

RESULTS We reviewed medical records of 80 patients from discharge until present time, an average period of 19 years. Current guidelines were effective in detecting permanent neurological sequalae and hearing impairment, present in 32% and 18% of all patients respectively. However, psychiatric sequalae, noted in 28% of all patients, including neuropsychological symptoms noted in 13% of all patients, were discovered in average 15 years after routine follow-up ended.

CONCLUSION: Current follow-up guidelines is sufficient for detection of neurological and hearing sequelae. However, neurodevelopmental disorders are often discovered several years after routine follow-up. Therefore, current guidelines should be modified with stricter follow-up routines and extended follow-up period to enable detection of these disabilities, thereby preventing unnecessary suffering for the affected child.

Place, publisher, year, edition, pages
2017. , p. 24
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:umu:diva-147882OAI: oai:DiVA.org:umu-147882DiVA, id: diva2:1208787
Educational program
Medical Programme
Presentation
2018-01-10, Umeå, 14:58 (Swedish)
Supervisors
Available from: 2018-05-31 Created: 2018-05-20 Last updated: 2018-05-31Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • ieee
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  • Other locale
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Output format
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