Resumen

ESTEVEZ SIERRA, Ingrid; SANCHEN CASAS, Alexis; RODRIGUEZ HEREDIA, Odalys  y  GARCIA GONZALEZ, Gloria. Bacterial meningoencephalitis to Streptococcus pneumoniae: a health problem to solve. AMC [online]. 2011, vol.15, n.3, pp.553-565. ISSN 1025-0255.

Background: the Streptococcus pneumoniae occupies the first place among the causal bacteria of bacterial meningoencephalitis since the year 2000, which affects children and adults with great lethality. Objective: to characterize some epidemiological and microbiological aspects from the bacterial meningoencephalitis to Streptococcus pneumoniae. Method: a descriptive and observational study on bacterial meningoencephalitis to Streptococcus pneumoniae was performedin the microbiology lab at the Provincial Center of Hygiene Epidemiology and Microbiology from 2000 to 2009. The universe was constituted by 209 patients with bacterial meningoencephalitis and the sample was formed of 50 positive patients to Streptococcus pneumoniae. Results: the 24,4 % of patients had Streptococcus pneumoniae. All the ages were affected, especially the old men with lethality of 80 %. There was 40% of deaths in children and 60 % in adults. The bacteriological study of the cerebrospinal fluid turned out to be the most important test to establish the bacterial meningoencephalitis diagnostic to Streptococcus pneumoniae. The 84% of strains was detected to be resistant to penicillin. Conclusions: results demonstrate that an extreme surveillance should be carried to the meningoencephalitis to this germ in vulnerable population in the face of the great lethality observed in the positive patients to Streptococcus pneumoniae.

Palabras clave : MENINGOENCEPHALITIS; STREPTOCOCCUS PNEUMONIAE; DRUG RESISTANCE; MICROBIAL; BACTERIOLOGICAL ANALYSIS.

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