الفهرس 
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Abstract
Postoperative bacterial meningitis is a rare complication of spinal surgery and is
considered to be a complication related to incidental durotomy. A high index of
suspicion for meningitis is essential in patients who have the triad of fever, neck stiffness
and consciousness disturbance during the postoperative period. In addition, headache,
seizure, and focal neurologic deficit may also occur. A delayed diagnosis and treatment
of meningitis may lead to adverse outcomes.
Postoperative bacterial meningitis may cause prolonged hospitalization,
extended antibiotic treatment, and even mortality. Due to the low incidence of
postoperative meningitis, very few studies have reported this complication after spinal
surgery.
This study aimed to study of frequency, presentation, and outcome of meningitis
after spinal anesthesia for various surgical procedures in patients admitted to EL Mahla
El Elkobra hospitals.
This study included 141 patients referred to El Mahala El Kobra Fever hospital
complaining of symptoms and signs of meningeal irritation after spinal anesthesia for
different. The patients were classified according to the clinical, laboratory and CSF
analysis &culture into 2 groups: group I: Positive for meningitis included 79 patients,
and group II: Negative for meningitis, included 62 patients.
The total study population included 129 females and 12 males; their mean age
was 29±6 years. 17.7% of cases had DM, 15.6% of cases had HTN, 12.1% had chronic
airway disease, while 54.6% of cases didn’t have any chronic diseases. There was
statistical significant difference between the studied patients regarding history of
chronic disease, while there was no significant difference between groups regarding sex,
or age.
32.6% of cases had spinal anesthesia and 67.4% of them had epidural anesthesia.
84.4% of cases has obstetric surgery. All cases received antibiotics post operations for
7 days, as following; 31.9% of cases received amoxicillin-clavulanic, 43.3% received
3rd generation cephalosporin, and 24.8% received 4th generation cephalosporin. There
was a statistical significant difference between the studied patients according qualification of anesthesiologist, and type of antibiotic used post operative, while there
was no significant difference between groups regarding type of spinal anesthesia, type
of operation, or type of hospital.