RESUMO

Samples of 1815 cerebrospinal fluid (CSF) were studied in a meningitis outbreak during 1989 in São Paulo, Brazil. Neisseria meningitis 56% with 44% type B, Haemophilus influenzae 17%, from which 72% in children (days to 3-year-old) and Streptococcus pneumoniae 14% from which 60% in children (day to 1-year-old) of 443 (24%) of all strains. Cytochemistry study showed: purulent or turbidity aspects in 70 to 79% positive bacterioscopy or culture of CSF; white cells count > 500/mm3; glucose < 45 mg/dl; protein > 90 mg/dl in 90% of all patients. We concluded that: CSF prognostic factors: (aspect and cytochemistry) were correlated with bacterial meningitis. Bacterioscopy and positive cultures were correlated to NM, SP and HI isolation from these patients (Goodman Test).

Assuntos

Meningite por Haemophilus/líquido cefalorraquidiano , Meningite Meningocócica/líquido cefalorraquidiano , Meningite Pneumocócica/líquido cefalorraquidiano , Adolescente , Adulto , Líquido Cefalorraquidiano/metabolismo , Líquido Cefalorraquidiano/microbiologia , Criança , Pré-Escolar , Feminino , Haemophilus influenzae/isolamento & purificação , Histocitoquímica , Humanos , Lactente , Recém-Nascido , Masculino , Meningite por Haemophilus/microbiologia , Meningite Meningocócica/microbiologia , Meningite Pneumocócica/microbiologia , Neisseria meningitidis/isolamento & purificação , Streptococcus pneumoniae/isolamento & purificação