Management of acute bacterial meningitis in a limited resource setting: an Egyptian consensus model
Abstract Acute bacterial meningitis (ABM) is an emerging disease with high morbidity and mortality. It is a globally serious disease and is considered endemic in Egypt, affecting all age groups and being common in low-standard and overcrowded areas. Early and appropriate antimicrobial therapy is cru...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-01-01
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| Series: | The Egyptian Journal of Internal Medicine |
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| Online Access: | https://doi.org/10.1186/s43162-025-00398-w |
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| author | Samy Zaky Mohamed Elbadry Maysaa A. Saeed Hanaa Fathelbab Fatma Abdelsalam Mohammed Gamal Abdel-Hamid Alshaimaa Eid Asmaa Bakr Amira Maher Mona Mohammed Abdelrahman Mohamed A. Metwally Mahmoud Saad Berengy Enaam Ali AlMowafy Hassan Goabar Amin Abdel Baki Ahmed Corie Osama Hammad Entesar Elsharkawy Ahmed Saad Fatma Ali-Eldin Ahmed Mahdy Ramadan Zaky Reham Hammad Gamal Essmat |
| author_facet | Samy Zaky Mohamed Elbadry Maysaa A. Saeed Hanaa Fathelbab Fatma Abdelsalam Mohammed Gamal Abdel-Hamid Alshaimaa Eid Asmaa Bakr Amira Maher Mona Mohammed Abdelrahman Mohamed A. Metwally Mahmoud Saad Berengy Enaam Ali AlMowafy Hassan Goabar Amin Abdel Baki Ahmed Corie Osama Hammad Entesar Elsharkawy Ahmed Saad Fatma Ali-Eldin Ahmed Mahdy Ramadan Zaky Reham Hammad Gamal Essmat |
| author_sort | Samy Zaky |
| collection | DOAJ |
| description | Abstract Acute bacterial meningitis (ABM) is an emerging disease with high morbidity and mortality. It is a globally serious disease and is considered endemic in Egypt, affecting all age groups and being common in low-standard and overcrowded areas. Early and appropriate antimicrobial therapy is crucial for suspected bacterial meningitis, even before the causative pathogen is identified. This is because definitive laboratory confirmation can take several days and may not always be successful. Those who do recover, especially if there was delayed appropriate intervention, can have permanent disabilities, such as brain damage, hearing loss, and learning disabilities. Rapid intervention in such cases is mandatory, which is not easy in countries with limited income due to weak capabilities and resources. Therefore, we are in dire need of making an Egyptian consensus that suits our country as a low-resource one, in order to facilitate and speed up the process of managing such cases. This consensus-based paper is under the supervision of the Egyptian Society of Fever comprising clinicians, microbiologists, epidemiologists, and public health representatives. They convened to assess the current situation and develop a new consensus on the management of ABM, taking into consideration the human and health potential of Egypt. All the experts who participated in writing and directing this conference belong to different Egyptian universities, and their main clinical interest was infectious diseases. Others work in fever hospitals that are affiliated with the Ministry of Health. They collaborated on the statements` writing, reviewing, and voting to reach the final version. Each statement was voted as strongly, moderately, or weekly recommended. Each statement should have a predefined score of 80% agreement to be accepted and reported in this consensus. Conclusion This Egyptian consensus model offers a feasible and context-specific approach to managing ABM, aiming to improve outcomes and reduce disparities in resource-limited settings. |
| format | Article |
| id | doaj-art-fb904f93d006453991206af420f5a17e |
| institution | Kabale University |
| issn | 2090-9098 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Internal Medicine |
| spelling | doaj-art-fb904f93d006453991206af420f5a17e2025-01-19T12:39:22ZengSpringerOpenThe Egyptian Journal of Internal Medicine2090-90982025-01-0137111210.1186/s43162-025-00398-wManagement of acute bacterial meningitis in a limited resource setting: an Egyptian consensus modelSamy Zaky0Mohamed Elbadry1Maysaa A. Saeed2Hanaa Fathelbab3Fatma Abdelsalam4Mohammed Gamal Abdel-Hamid5Alshaimaa Eid6Asmaa Bakr7Amira Maher8Mona Mohammed Abdelrahman9Mohamed A. Metwally10Mahmoud Saad Berengy11Enaam Ali AlMowafy12Hassan Goabar13Amin Abdel Baki14Ahmed Corie15Osama Hammad16Entesar Elsharkawy17Ahmed Saad18Fatma Ali-Eldin19Ahmed Mahdy20Ramadan Zaky21Reham Hammad22Gamal Essmat23Al-Azhar UniversityHelwan UniversityZagazig UniversityZagazig UniversityBenha UniversityAl-Azhar UniversityAl-Azhar UniversityAl-Azhar UniversitySohag UniversitySohag UniversityBenha UniversityInternal Medicine Department, Al Azhar UniversityAin Shams UniversityInfectious Diseases Kafrul Sheikh Fever HospitalNational Hepatology and Tropical Medicine Research Institute (NHTMRI)Cairo University Hospitals, Cairo University, Helwan UniversityBeni-Suef UniversityBenha UniversityCairo University Hospitals, Cairo University, Helwan UniversityAin Shams UniversityMinistry of Health and PopulationMinistry of Health and PopulationAl-Azhar UniversityCairo University Hospitals, Cairo University, Helwan UniversityAbstract Acute bacterial meningitis (ABM) is an emerging disease with high morbidity and mortality. It is a globally serious disease and is considered endemic in Egypt, affecting all age groups and being common in low-standard and overcrowded areas. Early and appropriate antimicrobial therapy is crucial for suspected bacterial meningitis, even before the causative pathogen is identified. This is because definitive laboratory confirmation can take several days and may not always be successful. Those who do recover, especially if there was delayed appropriate intervention, can have permanent disabilities, such as brain damage, hearing loss, and learning disabilities. Rapid intervention in such cases is mandatory, which is not easy in countries with limited income due to weak capabilities and resources. Therefore, we are in dire need of making an Egyptian consensus that suits our country as a low-resource one, in order to facilitate and speed up the process of managing such cases. This consensus-based paper is under the supervision of the Egyptian Society of Fever comprising clinicians, microbiologists, epidemiologists, and public health representatives. They convened to assess the current situation and develop a new consensus on the management of ABM, taking into consideration the human and health potential of Egypt. All the experts who participated in writing and directing this conference belong to different Egyptian universities, and their main clinical interest was infectious diseases. Others work in fever hospitals that are affiliated with the Ministry of Health. They collaborated on the statements` writing, reviewing, and voting to reach the final version. Each statement was voted as strongly, moderately, or weekly recommended. Each statement should have a predefined score of 80% agreement to be accepted and reported in this consensus. Conclusion This Egyptian consensus model offers a feasible and context-specific approach to managing ABM, aiming to improve outcomes and reduce disparities in resource-limited settings.https://doi.org/10.1186/s43162-025-00398-wBacterial MeningitisConsensusEgypt |
| spellingShingle | Samy Zaky Mohamed Elbadry Maysaa A. Saeed Hanaa Fathelbab Fatma Abdelsalam Mohammed Gamal Abdel-Hamid Alshaimaa Eid Asmaa Bakr Amira Maher Mona Mohammed Abdelrahman Mohamed A. Metwally Mahmoud Saad Berengy Enaam Ali AlMowafy Hassan Goabar Amin Abdel Baki Ahmed Corie Osama Hammad Entesar Elsharkawy Ahmed Saad Fatma Ali-Eldin Ahmed Mahdy Ramadan Zaky Reham Hammad Gamal Essmat Management of acute bacterial meningitis in a limited resource setting: an Egyptian consensus model The Egyptian Journal of Internal Medicine Bacterial Meningitis Consensus Egypt |
| title | Management of acute bacterial meningitis in a limited resource setting: an Egyptian consensus model |
| title_full | Management of acute bacterial meningitis in a limited resource setting: an Egyptian consensus model |
| title_fullStr | Management of acute bacterial meningitis in a limited resource setting: an Egyptian consensus model |
| title_full_unstemmed | Management of acute bacterial meningitis in a limited resource setting: an Egyptian consensus model |
| title_short | Management of acute bacterial meningitis in a limited resource setting: an Egyptian consensus model |
| title_sort | management of acute bacterial meningitis in a limited resource setting an egyptian consensus model |
| topic | Bacterial Meningitis Consensus Egypt |
| url | https://doi.org/10.1186/s43162-025-00398-w |
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