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Volume 20, Number 1—January 2014
Research

Population-based Surveillance for Bacterial Meningitis in China, September 2006–December 2009

Yixing Li1, Zundong Yin1, Zhujun Shao1, Manshi Li, Xiaofeng Liang, Hardeep S. Sandhu, Stephen C. Hadler, Junhong Li, Yinqi Sun, Jing Li, Wenjing Zou, Mei Lin, Shuyan Zuo, Leonard W. Mayer, Ryan T. Novak, Bingqing Zhu, Li Xu, Huiming LuoComments to Author , and the Acute Meningitis and Encephalitis Syndrome Study Group
Author affiliations: Chinese Center for Disease Control and Prevention, Beijing, China (Y. Li, Z. Yin, X. Liang, J. Li, H. Luo ); National Institute for Communicable Disease Control and Prevention, Beijing (Z. Shao); Shandong Provincial Center for Disease Control and Prevention, Jinan, China (M. Li); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (H.S. Sandhu, S.C. Hadler, L.W. Mayer, R.T. Novak); Hebei Provincial Center for Disease Control and Prevention, Shijiazhuang, China (Y. Sun, J. Li); Hubei Provincial Center for Disease Control and Prevention, Wuhan, China (W. Zou); Guangxi Zhuang Autonomous Regional Center for Disease Control and Prevention, Nanning, China (M. Lin); World Health Organization China Office, Beijing (S. Zuo); State Key Laboratory for Infectious Disease Prevention and Control, Beijing, China (B. Zhu, L. Xu )

Main Article

Table 5

Initial clinical diagnoses of AMES and probable bacterial meningitis cases in sentinel hospitals in 4 China prefectures, September 2006–December 2009*

Initial diagnosis No. (%) AMES cases No. AMES cases with CSF specimen/no. (%) meeting WHO definition of PBM No. AMES specimens tested/no. (%) confirmed positive for any bacteria
Meningococcal meningitis 19 (0.4) 13/6 (46.2) 12/5 (41.7)
Purulent meningitis 280 (5.9) 255/156 (61.2) 244/29 (11.9)
TB meningitis 149 (3.2) 132/55 (41.7) 114/1 (0.9)
TB meningoencephalitis 48 (1.0) 33/17 (51.5) 31/0
Japanese encephalitis 142 (3.0) 102/29 (28.4) 110/0
Viral encephalitis 1,631 (34.6) 1,173/221 (18.8) 1,146/12 (1.0)
Viral meningitis 231 (4.9) 179/38 (21.2) 170/3 (1.8)
Viral meningoencephalitis 181 (3.8) 137/31 (22.6) 135/2 (1.5)
Other encephalitis 1,201 (25.5) 842/155 (18.4) 814/12 (1.5)
Other meningitis 70 (1.5) 57/14 (24.6) 55/0
Cerebrospinal meningitis 10 (0.2) 8/2 (25.0) 8/1 (12.5)
Other diagnosis† 731 (15.5) 526/109 (20.7) 539/9 (1.70)
Data missing 19 (0.4) 7/0 13/0
Total 4,712 (100) 3,464/833 (24.0) 3,391/74 (2.2)

*AMES, acute meningitis and encephalitis syndrome; CSF, cerebrospinal fluid; WHO, World Health Organization; PBM, probable bacterial meningitis; TB, tuberculosis.
†Other diagnosis were cases that met the AMES case definition (e.g., suspected CNS infection and high fever and convulsion with unknown reason) but that were not included among the 11 specific initial diagnosis listed above.

Main Article

1These authors contributed equally to this article.

2Members of the Acute Meningitis and Encephalitis Syndrome Study Group are listed at the end of this article.

Page created: January 03, 2014
Page updated: January 03, 2014
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