{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:02:46Z","timestamp":1780358566918,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Bacterial meningitis (BM) has become less frequent, partly due to national vaccination programmes, and recent data on BM in Nordic children is limited. We reviewed the incidence, aetiology, symptoms, treatment and outcomes of BM in Norwegian children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected from electronic medical records of children under 15 diagnosed with microbiologically confirmed BM at Haukeland University Hospital, Bergen, from 2010 to 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 40 cases of BM, of which 22 (55%) were boys. The median age was 10\u2009days (range 0\u20135243). The overall annual incidence was 2.8 per 100\u2009000. BM was most frequent in the neonatal period, with an annual incidence of 36 per 100\u2009000 live births. BM after the neonatal period occurred in 1.1 per 100\u2009000 per year. The most common bacteria were group B\n                      <jats:italic>Streptococcus<\/jats:italic>\n                      (50%),\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Streptococcus pneumoniae<\/jats:italic>\n                      <\/jats:styled-content>\n                      (18%) and\n                      <jats:styled-content style=\"fixed-case\">\n                        <jats:italic>Escherichia coli<\/jats:italic>\n                      <\/jats:styled-content>\n                      (18%). Altered consciousness occurred in 37 patients (93%). The combination of altered consciousness, fever and nuchal rigidity was found in three patients (8%). Long\u2010term disabilities occurred in 15 patients (37%), and two died.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The incidence of BM in Norwegian children was low between 2010 and 2023, with neonates constituting the majority. BM still carries mortality risk and high sequelae rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70379","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T09:33:38Z","timestamp":1763804018000},"page":"664-670","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Bacterial Meningitis in Norwegian Children 2010\u20132023: Low Incidence but Still a Major Threat in Neonates"],"prefix":"10.1111","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1086-9307","authenticated-orcid":false,"given":"Ingrid Kristine","family":"Lovund","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Bergen  Bergen Norway"},{"name":"Helse M\u00f8re Og Romsdal HF  Aalesund Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders Batman","family":"Mjelle","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Haukeland University Hospital  Bergen Norway"},{"name":"Department of Quality and Health Technology, Faculty of Health Sciences University of Stavanger  Stavanger Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian Magnus","family":"Thaulow","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Adolescent Medicine Haukeland University Hospital  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Espen","family":"Gj\u00f8en","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Adolescent Medicine Haukeland University Hospital  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61187-8"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(14)70027-1"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-3422"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-01085-w"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.52402"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14942"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14824"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.4045\/tidsskr.08.0115"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/320309"},{"key":"e_1_2_10_11_1","unstructured":"Statistics Norway (SSB) \u201cPopulation Count \u201dcited January 16 2025 https:\/\/www.ssb.no\/en\/befolkning\/folketall."},{"key":"e_1_2_10_12_1","unstructured":"Norwegian Institute of Public Health (FHI) \u201cAnnual Births\u2014Medical Birth Registry of Norway \u201dcited January 16 2025 https:\/\/statistikk.fhi.no\/mfr."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2010.07.022"},{"key":"e_1_2_10_14_1","unstructured":"A.Rojahn C.Klingenberg P. K.Knudsen andH.D\u00f8llner \u201cBakteriell meningitt\u2014akuttveileder i pediatri \u201dNorsk barnelegeforening cited January 16 2025 https:\/\/www.helsebiblioteket.no\/innhold\/retningslinjer\/pediatri\/akuttveileder\u2010i\u2010pediatri\/3.infeksjoner\/3.6\u2010bakteriell\u2010meningitt."},{"key":"e_1_2_10_15_1","unstructured":"C.Klingenberg \u201cMeningitt\u2014veiledende prosedyre i nyf\u00f8dtmedisin \u201dNorsk barnelegeforening cited January 16 2025 https:\/\/www.helsebiblioteket.no\/innhold\/retningslinjer\/pediatri\/nyfodtmedisin\u2010veiledende\u2010prosedyrer\u2010fra\u2010norsk\u2010barnelegeforening\/4\u2010infeksjoner\/4.2\u2010meningitt."},{"key":"e_1_2_10_16_1","unstructured":"A. L.Solev\u00e5g U. T.Hinna E. H.Eggen M.Engan A. 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