Araştırma Makalesi
BibTex RIS Kaynak Göster
Yıl 2021, Cilt: 3 Sayı: 1, 1 - 6, 15.04.2021

Öz

Destekleyen Kurum

YOK

Kaynakça

  • 1)Tunkel AR, Van de Beek D, Scheld WM. Acute meningitis. In: Mandell GL, Bennett JE, Dolin R, editors. Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. 7th edn. Philadelphia: Churchill Livingstone-Elsevier; 2010.
  • 2) Solbrig MV, Tyler KL. Infections of the nervous system: viral infections. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, editors. Neurology in Clinical Practice, 5th edn. Philadelphia: Butterworth-Heinemann Elsevier; 2008: pp. 1457–88.
  • 3) Solomon T, Dung NM, Kneen R et al. Japanese encephalitis. J Neurol Neurosurg Psychiatry 2000:68:405–15.
  • 4 )Kalita J, Misra UK, Pandey S et al. A comparison of clinical and radiological findings in adults and children with Japanese encephalitis. Arch Neurol 2003:60:1760–4.
  • 5) Chou CH, Lin GM, Ku CH, Chang FY. Comparison of the APACHE II, GCS and MRC scores in predicting outcomes in patients with tuberculous meningitis. Int J Tuberc Lung Dis. 2010;14(1):86-92.
  • 6) Fernandes D, Gonçalves-Pereira J, Janeiro S, Silvestre J, Bento L, Póvoa P. Acute bacterial meningitis in the intensive care unit and risk factors for adverse clinical outcomes: retrospective study. J Crit Care. 2014;29(3):347-350. doi:10.1016/j.jcrc.2013.12.001
  • 7) Edberg M, Furebring M, Sjölin J, Enblad P. Neurointensive care of patients with severe community-acquired meningitis. Acta Anaesthesiol Scand. 2011;55(6):732-739. doi:10.1111/j.1399-6576.2011.02460.x
  • 8) Trachtenberg JD, Kambugu AD, McKellar M et al. The medical management of central nervous system infections in Uganda and the potential impact of an algorithm-based approach to improve outcomes. Int J Infect Dis 2007:11:524–30.
  • 9) Thakur KT, Motta M, Asemota AO et al. Predictors of outcome in acute encephalitis. Neurology 2013;81:793–800.
  • 10)Proulx N, Fréchette D, Toye B, Chan J, Kravcik S. Delays in the administration of antibiotics are associated with mortality from adult acute bacterial meningitis. QJM. 2005;98(4):291-298. doi:10.1093/qjmed/hci047
  • 11)McGrath N, Anderson NE, Croxson MC, Powell KF. Herpes simplex encephalitis treated with acyclovir: diagnosis and long term outcome. J Neurol Neurosurg Psychiatry. 1997;63(3):321-326.
  • 12)Raschilas F, Wolff M, Delatour F, et al. Outcome of and prognostic factors for herpes simplex encephalitis in adult patients: results of a multicenter study. Clin Infect Dis. 2002;35(3):254-260. doi:10.1086/341405 doi:10.1136/jnnp.63.3.
  • 13) Ziai WC, Lewin JJ 3rd. Update in the diagnosis and management of central nervous system infections. Neurol Clin. 2008;26(2):427-viii. doi:10.1016/j.ncl.2008.03.013)
  • 14)Ziai WC, Lewin JJ 3rd. Update in the diagnosis and management of central nervous system infections. Neurol Clin. 2008;26(2):427-viii. doi:10.1016/j.ncl.2008.03.013)
  • 15)Sanaei Dashti A, Alizadeh S, Karimi A, Khalifeh M, Shoja SA. Diagnostic value of lactate, procalcitonin, ferritin, serum-C-reactive protein, and other biomarkers in bacterial and viral meningitis: A cross-sectional study. Medicine (Baltimore). 2017;96(35):e7637. doi:10.1097/MD.0000000000007637.
  • 16)Misra UK, Kalita J, Bhoi SK. Spectrum and outcome predictors of central nervous system infections in a neurological critical care unit in India: a retrospective review. Trans R Soc Trop Med Hyg. 2014;108(3):141-146. doi:10.1093/trstmh/tru008,
  • 17)Flores-Cordero JM, Amaya-Villar R, Rincón-Ferrari MD, et al. Acute community-acquired bacterial meningitis in adults admitted to the intensive care unit: clinical manifestations, management and prognostic factors. Intensive Care Med. 2003;29(11):1967-1973. doi:10.1007/s00134-003-1935-4
  • 18) Chou CH, Lin GM, Ku CH, Chang FY. Comparison of the APACHE II, GCS and MRC scores in predicting outcomes in patients with tuberculous meningitis. Int J Tuberc Lung Dis. 2010;14(1):86-92.
  • 19) Pietraszek-Grzywaczewska I, Bernas S, Łojko P, Piechota A, Piechota M. Predictive value of the APACHE II, SAPS II, SOFA and GCS scoring systems in patients with severe purulent bacterial meningitis. kk. 2016;48(3):175-179. doi:10.5603/AIT.a2016.0030
  • 20) Lai WA, Chen SF, Tsai NW, et al. Clinical characteristics and prognosis of acute bacterial meningitis in elderly patients over 65: a hospital-based study. BMC Geriatr. 2011;11:91. Published 2011 Dec 28. doi:10.1186/1471-2318-11-91
  • 21) Edberg M, Furebring M, Sjölin J, Enblad P. Neurointensive care of patients with severe community-acquired meningitis. Acta Anaesthesiol Scand. 2011;55(6):732-739. doi:10.1111/j.1399-6576.2011.02460.x

Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study

Yıl 2021, Cilt: 3 Sayı: 1, 1 - 6, 15.04.2021

Öz

Aim: This study was designed to analyze demographic, clinical and laboratory characteristics beside risk factors that affect the mortality rate of patients hospitalized in ICUs with diagnosis of CNS infection.
Methods: Patients that have been hospitalized at ICU on pre-CNS infection were retrospectively studied. Beside the clinical laboratory characteristics of the patients, mortality rate and risk factors that affect the mortality were recorded to be analyzed later.
Results: Following the evaluation of 118 ICU patients who were suspected to have CNS infection, 62 of them, with full diagnosis of CNS infection, were included in the study. Bacterial meningitis was the diagnosis for 40 (66%) of these patients while 18 of the total (30%) was diagnosed with viral encephalitis and 3 of them (4%) was diagnosed with tuberculous meningitis. When these factors were investigated in a multivariable study, age and time from the onset of symptoms to hospital admission were independent risk factors (CI: 1,098(1,031-1,169), 1,614(1,037-1,278).
Conclusion: The mortality rate of the patients that were subjects of the study was 52,5%. Age and time from the onset of symptoms to hospital admission were independent risk factors that affect the mortality.

Kaynakça

  • 1)Tunkel AR, Van de Beek D, Scheld WM. Acute meningitis. In: Mandell GL, Bennett JE, Dolin R, editors. Mandell, Douglas and Bennett’s Principles and Practice of Infectious Diseases. 7th edn. Philadelphia: Churchill Livingstone-Elsevier; 2010.
  • 2) Solbrig MV, Tyler KL. Infections of the nervous system: viral infections. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, editors. Neurology in Clinical Practice, 5th edn. Philadelphia: Butterworth-Heinemann Elsevier; 2008: pp. 1457–88.
  • 3) Solomon T, Dung NM, Kneen R et al. Japanese encephalitis. J Neurol Neurosurg Psychiatry 2000:68:405–15.
  • 4 )Kalita J, Misra UK, Pandey S et al. A comparison of clinical and radiological findings in adults and children with Japanese encephalitis. Arch Neurol 2003:60:1760–4.
  • 5) Chou CH, Lin GM, Ku CH, Chang FY. Comparison of the APACHE II, GCS and MRC scores in predicting outcomes in patients with tuberculous meningitis. Int J Tuberc Lung Dis. 2010;14(1):86-92.
  • 6) Fernandes D, Gonçalves-Pereira J, Janeiro S, Silvestre J, Bento L, Póvoa P. Acute bacterial meningitis in the intensive care unit and risk factors for adverse clinical outcomes: retrospective study. J Crit Care. 2014;29(3):347-350. doi:10.1016/j.jcrc.2013.12.001
  • 7) Edberg M, Furebring M, Sjölin J, Enblad P. Neurointensive care of patients with severe community-acquired meningitis. Acta Anaesthesiol Scand. 2011;55(6):732-739. doi:10.1111/j.1399-6576.2011.02460.x
  • 8) Trachtenberg JD, Kambugu AD, McKellar M et al. The medical management of central nervous system infections in Uganda and the potential impact of an algorithm-based approach to improve outcomes. Int J Infect Dis 2007:11:524–30.
  • 9) Thakur KT, Motta M, Asemota AO et al. Predictors of outcome in acute encephalitis. Neurology 2013;81:793–800.
  • 10)Proulx N, Fréchette D, Toye B, Chan J, Kravcik S. Delays in the administration of antibiotics are associated with mortality from adult acute bacterial meningitis. QJM. 2005;98(4):291-298. doi:10.1093/qjmed/hci047
  • 11)McGrath N, Anderson NE, Croxson MC, Powell KF. Herpes simplex encephalitis treated with acyclovir: diagnosis and long term outcome. J Neurol Neurosurg Psychiatry. 1997;63(3):321-326.
  • 12)Raschilas F, Wolff M, Delatour F, et al. Outcome of and prognostic factors for herpes simplex encephalitis in adult patients: results of a multicenter study. Clin Infect Dis. 2002;35(3):254-260. doi:10.1086/341405 doi:10.1136/jnnp.63.3.
  • 13) Ziai WC, Lewin JJ 3rd. Update in the diagnosis and management of central nervous system infections. Neurol Clin. 2008;26(2):427-viii. doi:10.1016/j.ncl.2008.03.013)
  • 14)Ziai WC, Lewin JJ 3rd. Update in the diagnosis and management of central nervous system infections. Neurol Clin. 2008;26(2):427-viii. doi:10.1016/j.ncl.2008.03.013)
  • 15)Sanaei Dashti A, Alizadeh S, Karimi A, Khalifeh M, Shoja SA. Diagnostic value of lactate, procalcitonin, ferritin, serum-C-reactive protein, and other biomarkers in bacterial and viral meningitis: A cross-sectional study. Medicine (Baltimore). 2017;96(35):e7637. doi:10.1097/MD.0000000000007637.
  • 16)Misra UK, Kalita J, Bhoi SK. Spectrum and outcome predictors of central nervous system infections in a neurological critical care unit in India: a retrospective review. Trans R Soc Trop Med Hyg. 2014;108(3):141-146. doi:10.1093/trstmh/tru008,
  • 17)Flores-Cordero JM, Amaya-Villar R, Rincón-Ferrari MD, et al. Acute community-acquired bacterial meningitis in adults admitted to the intensive care unit: clinical manifestations, management and prognostic factors. Intensive Care Med. 2003;29(11):1967-1973. doi:10.1007/s00134-003-1935-4
  • 18) Chou CH, Lin GM, Ku CH, Chang FY. Comparison of the APACHE II, GCS and MRC scores in predicting outcomes in patients with tuberculous meningitis. Int J Tuberc Lung Dis. 2010;14(1):86-92.
  • 19) Pietraszek-Grzywaczewska I, Bernas S, Łojko P, Piechota A, Piechota M. Predictive value of the APACHE II, SAPS II, SOFA and GCS scoring systems in patients with severe purulent bacterial meningitis. kk. 2016;48(3):175-179. doi:10.5603/AIT.a2016.0030
  • 20) Lai WA, Chen SF, Tsai NW, et al. Clinical characteristics and prognosis of acute bacterial meningitis in elderly patients over 65: a hospital-based study. BMC Geriatr. 2011;11:91. Published 2011 Dec 28. doi:10.1186/1471-2318-11-91
  • 21) Edberg M, Furebring M, Sjölin J, Enblad P. Neurointensive care of patients with severe community-acquired meningitis. Acta Anaesthesiol Scand. 2011;55(6):732-739. doi:10.1111/j.1399-6576.2011.02460.x
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Yoğun Bakım
Bölüm Original Articles
Yazarlar

Hilal Sipahioğlu

Aliye Esmaoğlu Çoruh

Ali Sarı Bu kişi benim

Kürşat Gündoğan

Murat Sungur Bu kişi benim

Yayımlanma Tarihi 15 Nisan 2021
Gönderilme Tarihi 27 Kasım 2020
Kabul Tarihi 19 Aralık 2020
Yayımlandığı Sayı Yıl 2021 Cilt: 3 Sayı: 1

Kaynak Göster

APA Sipahioğlu, H., Esmaoğlu Çoruh, A., Sarı, A., Gündoğan, K., vd. (2021). Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study. Eurasian Journal of Critical Care, 3(1), 1-6.
AMA Sipahioğlu H, Esmaoğlu Çoruh A, Sarı A, Gündoğan K, Sungur M. Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study. Eurasian j Crit Care. Nisan 2021;3(1):1-6.
Chicago Sipahioğlu, Hilal, Aliye Esmaoğlu Çoruh, Ali Sarı, Kürşat Gündoğan, ve Murat Sungur. “Central Nervous System Infections in the Intensive Care Units and Risk Factors for Mortality; Retrospective Study”. Eurasian Journal of Critical Care 3, sy. 1 (Nisan 2021): 1-6.
EndNote Sipahioğlu H, Esmaoğlu Çoruh A, Sarı A, Gündoğan K, Sungur M (01 Nisan 2021) Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study. Eurasian Journal of Critical Care 3 1 1–6.
IEEE H. Sipahioğlu, A. Esmaoğlu Çoruh, A. Sarı, K. Gündoğan, ve M. Sungur, “Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study”, Eurasian j Crit Care, c. 3, sy. 1, ss. 1–6, 2021.
ISNAD Sipahioğlu, Hilal vd. “Central Nervous System Infections in the Intensive Care Units and Risk Factors for Mortality; Retrospective Study”. Eurasian Journal of Critical Care 3/1 (Nisan 2021), 1-6.
JAMA Sipahioğlu H, Esmaoğlu Çoruh A, Sarı A, Gündoğan K, Sungur M. Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study. Eurasian j Crit Care. 2021;3:1–6.
MLA Sipahioğlu, Hilal vd. “Central Nervous System Infections in the Intensive Care Units and Risk Factors for Mortality; Retrospective Study”. Eurasian Journal of Critical Care, c. 3, sy. 1, 2021, ss. 1-6.
Vancouver Sipahioğlu H, Esmaoğlu Çoruh A, Sarı A, Gündoğan K, Sungur M. Central Nervous System Infections in the Intensive Care Units and risk factors for mortality; retrospective study. Eurasian j Crit Care. 2021;3(1):1-6.

Indexing and Abstracting

1493315074 2096820551208572097121274