{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T19:08:52Z","timestamp":1766344132828,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Qual Health Care"],"published-print":{"date-parts":[[1995,12]]},"abstract":"<jats:p>Important aspects of the management of meningitis in children include notification to local officers for control of communicable diseases; chemoprophylaxis for index cases and close contacts in cases of meningococcal or Haemophilus influenzae meningitis; and a formal hearing assessment for all survivors. A retrospective audit of these aspects of management was carried out for children admitted with meningitis in 12 months from 1 September 1990 to 31 August 1991 at the Royal Belfast Hospital for Sick Children. Only 20 of 36(56%) cases were notified by medical staff. Chemoprophylaxis was arranged for all close family contacts but to only five of the 23(22%) index cases for whom it was indicated. Appointments for audiological testing were arranged for only 19 of the 32(59%) survivors. Subsequently all doctors, including each intake of junior doctors, were given written information on the importance of notification and locally agreed guidelines for chemoprophylaxis and hearing assessments for survivors before discharge. Guidelines were also displayed prominently in each ward. A repeat audit from January 1992 to December 1992 showed significant improvement in these aspects of care. Twenty eight of 32 cases (88%) were notified, chemoprophylaxis was given to 20 of 22(91%) index cases for whom it was indicated, and 25 of 29(86%) survivors had hearing assessments arranged before discharge. Correct management of some aspects of care cannot be assumed, even if statutory (notification), nationally agreed (chemoprophylaxis), or generally agreed good practice (hearing assessments). These aspects of care improved after the first audit but the authors conclude that the notification rate remains below 100% and a repeat audit is necessary.<\/jats:p>","DOI":"10.1136\/qshc.4.4.269","type":"journal-article","created":{"date-parts":[[2008,9,29]],"date-time":"2008-09-29T13:52:26Z","timestamp":1222696346000},"page":"269-272","source":"Crossref","is-referenced-by-count":2,"title":["Managing meningitis in children: audit of notifications, rifampicin chemoprophylaxis, and audiological referrals."],"prefix":"10.1136","volume":"4","author":[{"given":"M D","family":"Shields","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Adams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Beresford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J A","family":"Dodge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1995,12,1]]},"reference":[{"key":"ref_1","first-page":"253","article-title":"Statutory notifiable infections in UK. In: RP Brettle, M Thompson. Infectious and communicable diseases","author":"Brettle, R.P.; Thompson, M.","year":"1984","unstructured":"RP Brettle, M Thompson. Statutory notifiable infections in UK. In: RP Brettle, M Thompson. Infectious and communicable diseases. London: Heineman, 1984:253 (table Al)."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1111\/j.1440-1754.1994.tb00556.x","article-title":"Chemoprophylaxis for haemophilus and meningococcal infections","volume":"30","author":"Isaacs, D.; Ferson, M.; Gilbert, G.L.; Grimwood, K.; McIntyre, P.","year":"1994","unstructured":"Isaacs D, Ferson M, Gilbert GL, Grimwood K, McIntyre P. Chemoprophylaxis for haemophilus and meningococcal infections. Journal of Paediatrics and Child Health 1994;30:9-1 1.","journal-title":"Journal of Paediatrics and Child Health"},{"key":"ref_3","article-title":"GP Mini Scrip","volume":"2","author":"chemoprophylaxis, Meningitis","year":"1993","unstructured":"Meningitis chemoprophylaxis. GP Mini Scrip Suppl 2, 1993.","journal-title":"Suppl"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1136\/adc.67.9.1128","article-title":"Hearing impairment after bacterial meningitis: a review","volume":"68","author":"Fortnum, H.M.","year":"1992","unstructured":"Fortnum HM. Hearing impairment after bacterial meningitis: a review. Arch Dis Child 1992;68:1128-33.","journal-title":"Arch Dis Child"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1136\/adc.68.6.763","article-title":"Epidemiology of bacterial meningitis","volume":"68","author":"Fortnum, H.M.; Davis, A.C.","year":"1993","unstructured":"Fortnum HM, Davis AC. Epidemiology of bacterial meningitis. Arch Dis Child 1993;68:763-7.","journal-title":"Arch Dis Child"},{"key":"ref_6","article-title":"Screening for hearing impairment","volume-title":"A programme for child health surveillance","author":"Hall, D.M.B.","unstructured":"Screening for hearing impairment. In: Hall DMB, ed. Health for all children. A programme for child health surveillance. 2nd ed. Oxford: Oxford University Press, 1991:79. (Report of the Joint Working Party on Child Health Surveillance.)","edition":"2nd ed"},{"key":"ref_7","first-page":"664","article-title":"Acute aseptic meningitis","volume-title":"textbook ofpediatrics","author":"Cherry, J.D.","year":"1992","unstructured":"Cherry JD. Acute aseptic meningitis. In: Behrman RE, Kliegman RM, eds. Nelson textbook ofpediatrics. 14th ed. Philadelphia: Saunders, 1992:664-6.","edition":"14th ed"},{"key":"ref_8","first-page":"197","article-title":"In: Pocket paediatrics","author":"O'Callaghan, C.; Meningitis, Stephenson T.","year":"1992","unstructured":"O'Callaghan C, Stephenson T. Meningitis. In: Pocket paediatrics. Edinburgh: Churchill Livingstone, 1992: 197-200."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1136\/adc.67.9.1111","article-title":"Is hearing assessed after bacterial meningitis?","volume":"67","author":"Fortnum, H.M.; Hull, D.","year":"1992","unstructured":"Fortnum HM, Hull D. Is hearing assessed after bacterial meningitis? Arch Dis Child 1992;67: 1111-2.","journal-title":"Arch Dis Child"}],"container-title":["Quality in Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/qshc.4.4.269","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T21:27:51Z","timestamp":1757021271000},"score":1,"resource":{"primary":{"URL":"https:\/\/qualitysafety.bmj.com\/lookup\/doi\/10.1136\/qshc.4.4.269"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,12]]},"references-count":9,"journal-issue":{"issue":"4","published-online":{"date-parts":[[1995,12,1]]},"published-print":{"date-parts":[[1995,12]]}},"alternative-id":["10.1136\/qshc.4.4.269"],"URL":"https:\/\/doi.org\/10.1136\/qshc.4.4.269","relation":{},"ISSN":["0963-8172","1475-3901"],"issn-type":[{"type":"print","value":"0963-8172"},{"type":"electronic","value":"1475-3901"}],"subject":[],"published":{"date-parts":[[1995,12]]}}}