Factors associated with afebrile presentation and delayed defervescence of bacterial meningitis in children under 3 years of age : a multi-centre retrospective analysis
© 2023. BioMed Central Ltd., part of Springer Nature..
BACKGROUND: This multi-center study aimed to identify factors affecting fever and delayed defervescence in bacterial meningitis (BM) patients under 3 years of age because of the variability of fever in this patient population.
METHODS: Only BM patients under 3 years treated at 49 centers in China from November 2018 to end-April 2021 were included in the study. Univariate and multivariate logistic regression analyses were performed to determine factors associated with afebrile presentation and fever of delayed defervescence.
RESULTS: A total of 863 BM patients under 3 years were included in the study. Coagulase negative staphylococcus was associated with afebrile presentation (OR = 1.176), while septicaemia and ear-nose-throat infections were associated with fever (P < 0.05). The patients with fever were assigned into early and delayed defervescence groups based on defervescence time (less than and more than or equal to one week). Furthermore, Streptococcus agalactiae meningitis (OR = 1.124), concomitant gastrointestinal infection (OR = 1.276), encephalomalacia (or = 1.339), and subdural effusion (OR = 1.454) were independently associated with delayed defervescence (all P < 0.05).
CONCLUSIONS: The findings can aid in the efficient utilization of fever in auxiliary diagnosis and evaluating the condition of the disease.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:23 |
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| Enthalten in: |
BMC pediatrics - 23(2023), 1 vom: 18. Sept., Seite 470 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
He, Lin [VerfasserIn] |
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| Links: |
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| Themen: |
Bacterial meningitis |
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| Anmerkungen: |
Date Completed 20.09.2023 Date Revised 23.11.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1186/s12887-023-04179-8 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM362203725 |
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| 245 | 1 | 0 | |a Factors associated with afebrile presentation and delayed defervescence of bacterial meningitis in children under 3 years of age |b a multi-centre retrospective analysis |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Revised 23.11.2023 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. BioMed Central Ltd., part of Springer Nature. | ||
| 520 | |a BACKGROUND: This multi-center study aimed to identify factors affecting fever and delayed defervescence in bacterial meningitis (BM) patients under 3 years of age because of the variability of fever in this patient population | ||
| 520 | |a METHODS: Only BM patients under 3 years treated at 49 centers in China from November 2018 to end-April 2021 were included in the study. Univariate and multivariate logistic regression analyses were performed to determine factors associated with afebrile presentation and fever of delayed defervescence | ||
| 520 | |a RESULTS: A total of 863 BM patients under 3 years were included in the study. Coagulase negative staphylococcus was associated with afebrile presentation (OR = 1.176), while septicaemia and ear-nose-throat infections were associated with fever (P < 0.05). The patients with fever were assigned into early and delayed defervescence groups based on defervescence time (less than and more than or equal to one week). Furthermore, Streptococcus agalactiae meningitis (OR = 1.124), concomitant gastrointestinal infection (OR = 1.276), encephalomalacia (or = 1.339), and subdural effusion (OR = 1.454) were independently associated with delayed defervescence (all P < 0.05) | ||
| 520 | |a CONCLUSIONS: The findings can aid in the efficient utilization of fever in auxiliary diagnosis and evaluating the condition of the disease | ||
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Bacterial meningitis | |
| 650 | 4 | |a Children | |
| 650 | 4 | |a Defervescence time | |
| 650 | 4 | |a Fever | |
| 700 | 1 | |a Li, Haijing |e verfasserin |4 aut | |
| 700 | 1 | |a Zhang, Zhigang |e verfasserin |4 aut | |
| 700 | 1 | |a Ge, Hejia |e verfasserin |4 aut | |
| 700 | 1 | |a Wang, Hongwei |e verfasserin |4 aut | |
| 700 | 1 | |a Zhu, Mengquan |e verfasserin |4 aut | |
| 700 | 1 | |a Xu, Zhiwei |e verfasserin |4 aut | |
| 700 | 1 | |a Zhang, Jiening |e verfasserin |4 aut | |
| 700 | 1 | |a Fang, Sheng |e verfasserin |4 aut | |
| 700 | 1 | |a Hu, Chuanze |e verfasserin |4 aut | |
| 700 | 1 | |a Qian, Lijun |e verfasserin |4 aut | |
| 700 | 1 | |a Xu, Huifang |e verfasserin |4 aut | |
| 700 | 1 | |a Yao, Yinna |e verfasserin |4 aut | |
| 700 | 1 | |a Yuan, Shengfu |e verfasserin |4 aut | |
| 700 | 1 | |a Zhu, Jiajun |e verfasserin |4 aut | |
| 700 | 1 | |a Lu, Chaosheng |e verfasserin |4 aut | |
| 700 | 1 | |a Zheng, Jishan |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Junsheng |e verfasserin |4 aut | |
| 700 | 1 | |a Jiang, Qi |e verfasserin |4 aut | |
| 700 | 1 | |a Xu, Huiqing |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Lihua |e verfasserin |4 aut | |
| 700 | 1 | |a Shang, Shiqiang |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Yinghu |e verfasserin |4 aut | |
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