Twelve year outcomes following bacterial meningitis: Further evidence for persisting effects

K. Grimwood, Peter Anderson, Vicki Anderson, L. Tan, T. Nolan

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190 Citations (Scopus)

Abstract

Aim - To determine whether intellectual and cognitive impairments observed seven year's following early childhood bacterial meningitis persist into adolescence. Methods - Blinded neuropsychological, auditory, and behaviour assessments were conducted in 109 (69%) subjects from an original cohort of 158 children, seven and 12 years after their meningitis, and in 96 controls. Results - Meningitis subjects remained at greater risk than controls for any disability (odds ratio OR 4.7, confidence interval 2.2 to 9.6). Those with acute neurological complications had more sequelae than children with uncomplicated meningitis or controls (47% υ 30% υ 11.5% respectively; p < 0.001). Differences in intellectuals academics and high level cognitive function between subjects and controls were maintained at the seven and 12 year assessments. In contrasts lower order skills improved, while behaviour scores deteriorated significantly (p = 0.033). Conclusions - Many of the deficits identified at the seven year follow up persist 12 years after an episode of bacterial meningitis.

Original languageEnglish
Pages (from-to)111-116
Number of pages6
JournalArchives of Disease in Childhood
Volume83
Issue number2
DOIs
Publication statusPublished - 2000
Externally publishedYes

Keywords

  • Complications
  • Developmental problems
  • Meningitis

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