Multicenter prospective surveillance study of viral agents causing meningoencephalitis
Abstract The frequency of bacterial factors causing central nervous system infections has decreased as a result of the development of our national immunization program. In this study, it is aimed to obtain the data of our local surveillance by defining the viral etiology in cases diagnosed with meni...
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Nature Portfolio
2021
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oai:doaj.org-article:03e665737db543f89c9e95f866f65c772021-12-02T14:25:03ZMulticenter prospective surveillance study of viral agents causing meningoencephalitis10.1038/s41598-021-86687-02045-2322https://doaj.org/article/03e665737db543f89c9e95f866f65c772021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86687-0https://doaj.org/toc/2045-2322Abstract The frequency of bacterial factors causing central nervous system infections has decreased as a result of the development of our national immunization program. In this study, it is aimed to obtain the data of our local surveillance by defining the viral etiology in cases diagnosed with meningoencephalitis for 1 year. Previously healhty 186 children, who applied with findings suggesting viral meningoencephalitis to 8 different tertiary health centers between August 2018 and August 2019, in Istanbul, were included. The cerebrospinal fluid (CSF) sample was evaluated by polymerase chain reaction. The M:F ratio was 1.24 in the patient group, whose age ranged from 1 to 216 months (mean 40.2 ± 48.7). Viral factor was detected in 26.8%. Enterovirus was the most common agent (24%) and followed by Adenovirus (22%) and HHV type 6 (22%). In the rest of the samples revealed HHV type 7 (10%), EBV (6%), CMV (6%), HSV type 1 (6%), Parvovirus (4%) and VZV (2%). The most common symptoms were fever (79%) and convulsions (45.7%). Antibiotherapy and antiviral therapy was started 48.6% and 4% respectively. Mortality and sequela rate resulted 0.53% and 3.7%, respectively. This highlights the importance of monitoring trends in encephalitis in Turkey with aview to improving pathogen diagnosis for encephalitis and rapidly identifying novel emerging encephalitis-causing pathogens that demand public health action especially in national immunisation programme.Selda Hançerli TörünÖzge KabaNurhayat YakutEda Kepenekli KadayıfçıManolya KaraMehpare Sarı YanartaşAyper SomerBurcu Bursal DuramazÖzden TürelNazan DalgıçEmel Ekşi AlpEnes SalıDeniz ÇakırPınar ÖnalHaluk ÇokuğraşFatma Deniz AygünAdem KarbuzMustafa ÖnelSevim MeşeAli AğaçfidanNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Medicine R Science Q |
| spellingShingle |
Medicine R Science Q Selda Hançerli Törün Özge Kaba Nurhayat Yakut Eda Kepenekli Kadayıfçı Manolya Kara Mehpare Sarı Yanartaş Ayper Somer Burcu Bursal Duramaz Özden Türel Nazan Dalgıç Emel Ekşi Alp Enes Salı Deniz Çakır Pınar Önal Haluk Çokuğraş Fatma Deniz Aygün Adem Karbuz Mustafa Önel Sevim Meşe Ali Ağaçfidan Multicenter prospective surveillance study of viral agents causing meningoencephalitis |
| description |
Abstract The frequency of bacterial factors causing central nervous system infections has decreased as a result of the development of our national immunization program. In this study, it is aimed to obtain the data of our local surveillance by defining the viral etiology in cases diagnosed with meningoencephalitis for 1 year. Previously healhty 186 children, who applied with findings suggesting viral meningoencephalitis to 8 different tertiary health centers between August 2018 and August 2019, in Istanbul, were included. The cerebrospinal fluid (CSF) sample was evaluated by polymerase chain reaction. The M:F ratio was 1.24 in the patient group, whose age ranged from 1 to 216 months (mean 40.2 ± 48.7). Viral factor was detected in 26.8%. Enterovirus was the most common agent (24%) and followed by Adenovirus (22%) and HHV type 6 (22%). In the rest of the samples revealed HHV type 7 (10%), EBV (6%), CMV (6%), HSV type 1 (6%), Parvovirus (4%) and VZV (2%). The most common symptoms were fever (79%) and convulsions (45.7%). Antibiotherapy and antiviral therapy was started 48.6% and 4% respectively. Mortality and sequela rate resulted 0.53% and 3.7%, respectively. This highlights the importance of monitoring trends in encephalitis in Turkey with aview to improving pathogen diagnosis for encephalitis and rapidly identifying novel emerging encephalitis-causing pathogens that demand public health action especially in national immunisation programme. |
| format |
article |
| author |
Selda Hançerli Törün Özge Kaba Nurhayat Yakut Eda Kepenekli Kadayıfçı Manolya Kara Mehpare Sarı Yanartaş Ayper Somer Burcu Bursal Duramaz Özden Türel Nazan Dalgıç Emel Ekşi Alp Enes Salı Deniz Çakır Pınar Önal Haluk Çokuğraş Fatma Deniz Aygün Adem Karbuz Mustafa Önel Sevim Meşe Ali Ağaçfidan |
| author_facet |
Selda Hançerli Törün Özge Kaba Nurhayat Yakut Eda Kepenekli Kadayıfçı Manolya Kara Mehpare Sarı Yanartaş Ayper Somer Burcu Bursal Duramaz Özden Türel Nazan Dalgıç Emel Ekşi Alp Enes Salı Deniz Çakır Pınar Önal Haluk Çokuğraş Fatma Deniz Aygün Adem Karbuz Mustafa Önel Sevim Meşe Ali Ağaçfidan |
| author_sort |
Selda Hançerli Törün |
| title |
Multicenter prospective surveillance study of viral agents causing meningoencephalitis |
| title_short |
Multicenter prospective surveillance study of viral agents causing meningoencephalitis |
| title_full |
Multicenter prospective surveillance study of viral agents causing meningoencephalitis |
| title_fullStr |
Multicenter prospective surveillance study of viral agents causing meningoencephalitis |
| title_full_unstemmed |
Multicenter prospective surveillance study of viral agents causing meningoencephalitis |
| title_sort |
multicenter prospective surveillance study of viral agents causing meningoencephalitis |
| publisher |
Nature Portfolio |
| publishDate |
2021 |
| url |
https://doaj.org/article/03e665737db543f89c9e95f866f65c77 |
| work_keys_str_mv |
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