Characteristic | ICU, N = 1369 | Characteristic | ICU, N = 1369 |
---|---|---|---|
Median age (IQR), yearsa | 61 (49–69) | Positive blood culture | 957/1197 (80%) |
Female sex | 632/1369 (46%) | Causative pathogen | Â |
Symptoms < 24 h | 637/1300 (49%) | S. pneumoniae | 1,071/1369 (78%) |
Recurrent meningitis | 65/1367 (5%) | N. meningitidis | 124/1369 (9%) |
CSF leak | 28/1364 (2%) | L. monocytogenes | 36/1369 (3%) |
Extrameningeal infection | 656/1356 (48%) | H. influenzae | 27/1,369 (2%) |
Otitis or sinusitis | 517/1317 (39%) | Initial treatment | Â |
Endocarditis | 26/1312 (2%) | Amoxicillin + third-generation cephalosporin | 802/1367 (59%) |
Pneumonia | 141/1313 (11%) | Amoxicillin monotherapy | 60/1367 (4%) |
Immunocompromised state | 458/1369 (33%) | Third-generation cephalosporin monotherapy | 354/1,367 (26%) |
 Active cancer | 65/1360 (5%) | Other antibiotic regimen | 151/1367 (11%) |
 Diabetes | 206/1363 (15%) | Adjunctive dexamethasone conform protocol | 1134/1326 (86%) |
 HIV | 11/1367 (1%) | Radiological examination on admission |  |
 Asplenia | 27/1,367 (2%) | Abnormal CT/MRI brain scan | 602/1258 (48%) |
 Alcoholism | 110/1,364 (8%) | Generalized oedema | 134/1238 (11%) |
Immunosuppressive treatment | 120/1361 (9%) | Hydrocephalus | 72/1241 (6%) |
Symptoms on admission | Â | Hypodensity (recent) | 63/1234 (5%) |
Headache | 855/1,103 (78%) | Mastoid opacification | 317/1200 (26%) |
Nausea | 572/1,050 (54%) | Sinus opacification | 224/1189 (19%) |
Neck stiffness | 866/1216 (71%) | Clinical course | Â |
Rash | 123/1202 (10%) | Pneumonia | 247/1268 (19%) |
Median temperature (°C)b | 38.9 (37.9–39.7) | Circulatory shock | 220/1272 (17%) |
Fever (> 38 °C) | 979/1325 (74%) | Respiratory failure | 470/1300 (36%) |
Heart rate (beats/minute)c | 100 (86–120) | Mechanical ventilation | 715/1329 (54%) |
Systolic blood pressure (mmHg)d | 144 (125–164) | Seizures | 230/1313 (18%) |
Diastolic blood pressure (mmHg)e | 80 (69–91) | Cerebral infarction | 206/1258 (16%) |
Glasgow Coma Scale Scoref | 10 (8–12) | Mono-, hemiparesis or aphasia | 362/1,220 (30%) |
Altered mental status (GCS < 14) | 1,155/1360 (85%) | Sinus thrombosis | 38/1,236 (3%) |
Coma (GCS < 8) | 431/1360 (32%) | Outcome |  |
Seizures | 154/1,294 (12%) | Total duration of hospital stay (days)p | 15 (12–24) |
Babinski reflex | 212/1109 (19%) | Days to deathq | 6 (2–14) |
Cranial nerve palsy | 97/1074 (9%) | Duration of ICU stay (days)r | 3 (2–8) |
Mono-, hemiparesis or aphasia | 269/1163 (23%) | Glasgow Outcome Score | - |
Blood results | Â | 1 (death) | 304/1,369 (22%) |
C-reactive protein (mg/L)g | 204 (97–317) | 2 (vegetative state) | 4/1369 (0%) |
Leukocytes (× 10^9/L)h | 17 (12–23) | 3 (severe disability) | 77/1369 (6%) |
Thrombocytes (× 10^9/L)i | 190 (142–252) | 4 (moderate disability) | 258/1369 (19%) |
Glucose (mmol/L)j | 9.4 (7.7–11.9) | 5 (mild or no disability) | 726/1,369 (53%) |
CSF chemistry | Â | Neurological sequelae | Â |
Opening pressure (cm H2O)k | 48 (34–50) | Cognitive impairment | 220/878 (25%) |
Protein (g/L)l | 4.4 (2.7–6.5) | Cranial nerve palsy | 130/914 (14%) |
Glucose (mmol/L)m | 0.30 (0.10–2.20) | Mono-, hemiparesis or aphasia | 74/934 (8%) |
CSF:blood glucose ration | 0.03 (0.01–0.23) | Hearing impairment | 342/1028 (33%) |
White cell count (per mm3)o | 2850 (592–7595) | Type of hospital |  |
 < 100 per mm3 | 150/1293 (12%) | Academic hospital | 217/1369 (16%) |
100–999 per mm3 | 263/1293 (20%) | Large non-academic hospital | 628/1369 (46%) |
 > 999 per mm3 | 880/1293 (68%) | Regional hospital | 524/1369 (38%) |