标题：Acute bacterial meningitis with soluble antigen detected by latex particle agglutination tests at the Sourô-Sanou University Hospital of Bobo-Dioulasso (Burkina Faso)
摘要：Figures See all figures Authors S.M. Ouédraogo , T.M. Yaméogo , C.G. Kyelem , G.E.A. Poda , N.F. Ouédraogo , A. Millogo , A. Ouédraogo , A. Ouédraogo-Traoré , Y.J. Drabo CHU Sanou-Sourô, service de médecine interne, Bobo-Dioulasso, Burkina Faso, CHU Sanou-Sourô, service de maladies infectieuses, Bobo-Dioulasso, Burkina Faso, CHU Yalgado-Ouédraogo, Ouagadougou, Burkina Faso, CHU Sanou-Sourô, service de neurologie, Bobo-Dioulasso, Burkina Faso, Institut de recherche en sciences de la santé, Ouagadougou, Burkina Faso Key words: acute bacterial meningitis, soluble antigen, Burkina Faso DOI : 10.1684/mst.2012.0115 Page(s) : 412-6 Published in: 2012 Introduction. Acute bacterial meningitis constitutes a major public health problem in Burkina Faso, in part because of its high lethality rate, estimated in 2004 at 17.5%. Failure to confirm suspected cases of meningitis results in overestimating reported cases and incorrectly treating false positives. The latex particle agglutination test is a diagnostic alternative that overcomes these limitations. Objective. Determine the bacteriological and therapeutic profile as well as the course of cases of acute meningitis confirmed by the latex agglutination test at Sourô-Sanou University Hospital. Methods. This prospective longitudinal study took place over a one-year period (2008 to 2009). Data were collected from clinical and laboratory records. The diagnosis of meningitis was confirmed by testing for specific soluble antigens in the spinal fluid. We used the Pastorex ™ Meningitis Kit for that purpose. The threshold of significance selected for our study was 0.05. Results. In all, 457 samples of spinal fluid from patients with suspected acute bacterial meningitis were analyzed and the latex test was performed in 438 of these samples: 154 (35.2%) were positive. The average age of our cases confirmed by the latex test was 13.2 ± 4.2 years old. This test confirmed more cases than any other method of identification. The therapeutic strategy used from one to four treatment agents. Streptococcus pneumoniae was the most virulent and the most lethal pathogen, with a 64.7% lethality rate. Conclusion. The earliness of the consultation and the treatment of the bacterial meningitis seem to have a positive effect on the course of disease.
