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Epidemiology, Treatment and Prognosis of Neonatal Meningitis in Turkey: A Multicenter Study (NEO-MENINGITIS)
Zekai Tahir Burak Women's Health Research and Education Hospital
Meningitis, defined as inflammation of the meninges caused by different pathogens, is a serious infection associated with high morbidity and mortality. It occurs more commonly in the neonatal period than in any other age group. Neonatal meningitis is a devastating infection that occurs more commonly in neonates than in any other age group, and is associated with significant morbidity and mortality. In this study, we aimed to evaluate epidemiology, treatment and prognosis of neonatal meningitis in a large-scale retrospective multicenter cohort study.
The main objectives of this study were to assess the incidence, temporal trend, risk factors, causative organisms, and short term outcomes of neonatal meningitis in a large national cohort of newborn infants admitted to Turkey NICUs.
Studie Overzicht
Toestand
Conditie
Studietype
Inschrijving (Verwacht)
Contacten en locaties
Studie Locaties
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Ankara, Kalkoen
- Werving
- Zekai Tahir Burak Women's Health Research and Education Hospital
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Contact:
- Fuat Emre Canpolat, M.D.
- Telefoonnummer: +903123065000
- E-mail: femrecan@gmail.com
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Bursa, Kalkoen
- Werving
- Bursa Yuksek Ihtisas Research and Education Hospital
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Contact:
- Mehmet Nevzat Cizmeci, M.D.
- Telefoonnummer: +902242955000
- E-mail: nevzatcizmeci@gmail.com
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Diyarbakır, Kalkoen
- Werving
- Gazi Yasargil Education Research Hospital
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Contact:
- Nilufer Okur, M.D.
- Telefoonnummer: +904122519129
- E-mail: n.matur@hotmail.com
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İstanbul, Kalkoen
- Werving
- Istanbul Kanuni Sultan Suleyman Training and Research Hospital
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Contact:
- Merih Cetinkaya, M.D.
- Telefoonnummer: +902124041500
- E-mail: drmerih@yahoo.com
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İzmir, Kalkoen, 35590
- Werving
- Izmir Katip Celebi University, Medical Faculty
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Contact:
- Mehmet Yekta Oncel, MD
- Telefoonnummer: +902323394581
- E-mail: dryekta@gmail.com
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Bemonsteringsmethode
Studie Bevolking
In this study,
- Lumbar puncture performed due to suspected meningitis and
- CSF laboratory findings are consistent with meningitis and
- Positivity in CSF culture and/or CSF PCR
Neonates hospitalized between 1 January 2014 and 31 May 2019 will be included in the study.
- The list of all cases diagnosed as on Neonatal Meningitis with growth in CSF culture and / or causative agent by CSF PCR will be obtained from the hospital's database.
- Term infants will be included in the study until 1 month and preterm infants will be adjusted until the first month.
Beschrijving
Inclusion Criteria:
- Subject has a positive cerebrospinal fluid culture/PCR of bacterial pathogen.
- Subject has a positive blood culture of bacterial pathogen and counts of white blood cells in cerebrospinal fluid ≥20 /mm3.
Exclusion Criteria:
- Major congenital anomalies
- Cultures positive for coagulase-negative staphylococci (CONS) were excluded as possible contaminants, if not clinically and laboratory compatible with meningitis.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
---|---|---|
Incidence of neonatal meningitis
Tijdsspanne: average of 5 years
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Occurrence of a meningitis in NICU within a specified period of time.
(Number of neonatal meningitis cases / Total number of inpatients in the study period)
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average of 5 years
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
---|---|---|
Causative organisms
Tijdsspanne: average of 5 years
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Number and types of isolated microorganisms in CSF cultures
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average of 5 years
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Neurodevelopmental Outcome
Tijdsspanne: 18 to 24 months
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- Bayley Scales of Infant Development, Second Edition (BSID II), was performed a comprehensive assessment including neurological and developmental evaluation.
The mean BSID II score is 100 for Mental Developmental Index (MDI) and Psychomotor Developmental Index (PDI), with a standard deviation (SD) of 15; a score of less than 70 (42 SDs below the mean) indicates a significant delay.
Infants who were so severely impaired that testing with the BSID II could not be performed were assigned a MDI and PDI score of 49.
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18 to 24 months
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Mortality
Tijdsspanne: up to 28 days
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Neonatal meningitis related mortality
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up to 28 days
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Medewerkers en onderzoekers
Onderzoekers
- Hoofdonderzoeker: Mehmet Yekta Oncel, M.D., Tepecik Training and Research Hospital
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Verwacht)
Studie voltooiing (Verwacht)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- Tepecik35
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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Klinische onderzoeken op Neonatale meningitis
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University Hospital, Strasbourg, FranceVoltooid
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