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Gram-positive meningitis was twice as common as gram-negative meningitis with co-occurrence of meningitis and sepsis in half of the cases.Neonates with gram-positive meningitis and higher birth weight had a higher survival rate,but this finding was not statistically significant.The mortality rate in neonates with gram-negative meningitis was almost three times higher than that of neonates with gram-positive meningitis,but no significant difference was observed between their morbidity rates.Eight (38%)of 21 survivors were normal,while another eight(38%)and five(24%)had mild and moderate to severe sequelae,respectively.Survivors of meningitis had lower IQ scores and more severe sequelae than matched controls. Conclusion.-Neonatal bacterial meningitis results in poorer long-term outcome than in controls,but improved outcome compared with previous studies of neonatal meningitis. |
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cerebrospinal fluid,abnormal intelligence quotient meningismus meningitis,bacterial meningitis,gram negative meningitis,neurologic aspects and complications of meningitis,newborn meningitis,pneumococcal mental retardation mortality prognosis septicemia
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