Meningococcal infection at Kaunas Clinical Hospital from 2011 to 2015: demographical, clinical, diagnostical and treatment features

Aim: To analize demographic, clinic, diagnostic and treatment features in patients, who were treated by meningococcal infection at Kaunas clinical hospital from 2011 to 2015. Methods: 55 case - histories of patients with MI were chosen at Kaunas clinical hospital from 2011 to 2015. Required features were selected from case - histories for analysis. Data processed and analyzed by IBM Statistical Package for the Social Sciences (SPSS) Statistics 22.0 and Microsoft Excel 2013. Differences between groups are considered significant at p < 0,05. Results: MI was more frequent in men than in women. Most of MI were among in children group - 85,5 %. Antibacterial treatment was not given to any adult and to one third of children up to arrival to Kaunas clinical hospital. Clinic of sepsis occurred to 48,9% of children. Sepsis, sepsis and meningitis were more frequent compared with other clinical forms. Non patient was in comatose state. Meningeal symptoms were more frequent in adults and hemorrhagic type of skin rash was more frequent in children. 40% of MI cases were confirmed only clinically. N. meningitidis was significantly sensitive to penicillin among patients. 9,3% of N. meningitidis were resistant to penicillin. N. meningitidis B serogroup was the most often. Mortality rate from MI was 5,5 %. Conclusions: Most cases of MI were among in children group - 85,5 %. Two - thirds of patients were men. Sepsis was the most frequent MI clinical form among children. Septic shock was 8,5% of all MI cases among children. Meningeal symptoms were more frequent in adults than in children and hemorrhagic type of skin rash was more frequent in children than in adults. One third of the children had adequate treatment up to arrival to Kaunas clinical hospital. Only clinically MI was found in 40% cases. 9,3% of N. meningitidis were resistant to penicillin. N. meningitidis B serogroup was the most often. Mortality rate from MI was 5,5 %