Complicaciones neurológicas de la meningitis en pacientes pediátricos del Hospital Francisco de Icaza de Bustamante durante el periodo 2017-2019.

Abstract

In Ecuador in the last 3 years the following cases have been identified, in 2017 and 2018 one case was reported, but in 2019 8 laboratory confirmed cases (INSPI) of meningococcal meningitis (Neisseria Meningitidis) were reported. The main objective of the study is to evaluate the influence of neurological complications on mortality in pediatric patients with meningitis. For this reason, a retrospective, observational and analytical cohort study was conducted, which consisted of a universe of 151 patients who were admitted to the Hospital Francisco de Icaza de Bustamante during 2017, 2018, 2019, and had a lumbar puncture performed for clinical suspicion of meningitis. Thus, in the results of this study it was determined that the most frequent complications encountered were tonic-clonic seizures and hypoacusis. The evolutionary change that meningitis had throughout those 3 years has increased substantially from 2017 to 2018, and in 2019 it increased slightly. The most frequent etiology found was bacterial, with a total of 127 cases during the 3-year consecutive period. It was determined that patients with a personal history of hydrocephalus and neonatal sepsis had a higher risk of mortality when meningitis was present.