Significant sequelae after bacterial meningitis in Niger: a cohort study

摘要: Background: Beside high mortality, acute bacterial meningitis may lead to a frequency of neuropsychological sequelae. The Sahelian countries belonging the belt experience approximately 50% cases occurring in world. Studies Africa have shown that N. meningitidis could cause hearing loss up 30% cases, exceeding sometimes measles. situation is similar Niger which experiences yearly epidemics and where rehabilitation wards are rare aids remain unaffordable. aim this study was estimate sequelae after four eight regions Niger. Methods: Subjects exposed were enrolled into cohort with non subjects matched on age gender. Consenting interviewed during inclusion at control visit two months later. If clinical symptoms or psychological troubles persisted both visits among significantly greater than observed subjects, retained. comparison between also calculated using Fisher exact test. Results: Three persisting functional registered: headaches, asthenia, vertigo 31.3, 36.9, 22.4% respectively subjects. A significant motor impairment retrieved 12.3% versus 1.6% Hearing disabled 31.3% 10.4% exhibited serious deafness. Conclusions: This carried out confirms neurological frequencies meningitis: severe profound impairment. Cochlear implantation too expensive for populations living developing countries. Neurological should sensitize African public health authorities development centers. All these challenges can be met through existing strategies guidelines.