Open AccessSurveillance of invasive infections in children and adults admitted to QECH, Blantyre, 1996 - 2002
Author(s) -
LK Wilson,
Ajib Phiri,
D. Soko,
M. Mbvwinji,
Alissa Walsh,
M.E. Molyneux
Publication year - 2004
Publication title -
malawi medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.43
H-Index - 18
eISSN - 1995-7270
pISSN - 1995-7262
DOI - 10.4314/mmj.v15i2.10777
Subject(s) - medicine , meningitis , streptococcus pneumoniae , salmonella , haemophilus influenzae , chloramphenicol , microbiology and biotechnology , pediatrics , antibiotics , bacteria , biology , genetics
This is a report of blood CSF isolates from the adults medical and paediatric of wards QECH, Blantyre, cultured and identified at the Welcome Trust Research Laboratories during 1996-2002. The commonest causes of adults and children bacteraemia were non-typhoidal Salmonella (35% of all blood isolates for adults and children) and Streptococcus pneumoniae (14% and 13% respectively). Cryptococcus neoformans was the commonest isolates from CSF of adults with meningitis(67%) but was very rare in children. S.pneumoniae was the commonest cause of bacterial meningitis in children and adults (38% and 28% of all CSF isolates respectively). Haemophilus influenzae type b was also a common cause of meningitis in children (27%). Data of in vitro antibiotic sensitivity are also reported. A major concern is the recent marked rise of chloramphenicol resistance among Salmonella enteritidis and Salmonella typhimurium to over 80% resistance.