{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T15:52:42Z","timestamp":1792511562327,"version":"4.5.0"},"reference-count":0,"publisher":"Academy of Sciences and Arts of Bosnia and Herzegovina","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ama"],"abstract":"<jats:p>&lt;p&gt;&lt;strong&gt;Objective.&lt;\/strong&gt; The aim of the study was to determine the epidemiological\u00a0characteristics of bacterial meningitis observed in neonates born in\u00a0the Department of Gynaecology and Obstetrics, University Clinical\u00a0Centre Tuzla, Bosnia and Herzegovina, admitted to Intensive care unit\u00a0(NICU) or readmitted, because of suspected infection, after discharge\u00a0from the nursery. &lt;strong&gt;Subjects and methods.&lt;\/strong&gt; This study was carried out\u00a0from July 1, 2012 to June 30, 2013. During this period 4136 neonates\u00a0were born. All neonates admitted to the Intensive care unit with signs\u00a0and symptoms of systemic infections, and neonates readmitted to the\u00a0Intensive care unit, after discharge from the nursery for sepsis work\u00a0up were included in the study. &lt;strong&gt;Results.&lt;\/strong&gt; Eighteen of 200 neonates\u00a0(9%) admitted or readmitted to the NICU developed meningitis. 61%\u00a0cases were late onset meningitis. The overall incidence was 4.4\/1000\u00a0live births. The mortality rate was 11.1%. The mean age of symptom\u00a0presentation was 8.7 days. The most common clinical features were:\u00a0fever, respiratory distress and jaundice. Significant risk factors for\u00a0acquiring meningitis were: male gender, Caesarean delivery, stained\u00a0amniotic fluid. Positive CSF finding were detected in 6\/18 (33.3%) of\u00a0cases. Gram-positive bacteria were more frequently responsible for\u00a0confirmed meningitis. In all neonates with meningitis blood culture\u00a0was examined and 5 (50%) yielded Gram-negative bacteria. &lt;strong&gt;Conclusion.&lt;\/strong&gt;\u00a0The high rates of neonatal meningitis with predominant late\u00a0onset may suggest nosocomial origin. Measures to improve antenatal,\u00a0intrapartum and delivery care and measures during NICU hospitalisation\u00a0are necessary to lower the risk of nosocomial infections.&lt;\/p&gt;<\/jats:p>","DOI":"10.5644\/ama2006-124.139","type":"journal-article","created":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T08:22:08Z","timestamp":1621326128000},"page":"117","source":"Crossref","is-referenced-by-count":14,"title":["Neonatal bacterial meningitis: Results from a cross-sectional hospital based study"],"prefix":"10.5644","volume":"44","author":[{"given":"Izeta","family":"Softi\u0107","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Husref","family":"Tahirovi\u0107","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mensuda","family":"Hasanhod\u017ei\u0107","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3666","published-online":{"date-parts":[[2015,12,18]]},"container-title":["Acta Medica Academica"],"original-title":[],"link":[{"URL":"http:\/\/www.ama.ba\/index.php\/ama\/article\/viewFile\/252\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2021,5,18]],"date-time":"2021-05-18T08:22:46Z","timestamp":1621326166000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.ama.ba\/index.php\/ama\/article\/view\/252"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,18]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2015,12,18]]}},"URL":"https:\/\/doi.org\/10.5644\/ama2006-124.139","relation":{},"ISSN":["1840-2879","1840-1848"],"issn-type":[{"value":"1840-2879","type":"electronic"},{"value":"1840-1848","type":"print"}],"subject":[],"published":{"date-parts":[[2015,12,18]]}}}