Table 4

Comparison of infants admitted from home and infants in hospital at the time of diagnosis

VariableAll casesHome (n=66)Inpatient (n=31)p Value
Median age at disease (days)14 (3–25)17 (11–34)1 (0–7) 0.0001
Early onset (<7 days)30 (31%)8 (12%)22 (71%) <0.0001
Male52 (54%)34 (52%)18 (58%)0.5
Prematurity23 (24%)8 (12%)15 (48%) <0.0001
Out-of-hours presentation47 (48%)30 (45%)17 (55%)0.4
Fever on presentation48 (51%)40 (61%)8 (26%) 0.001
Seizure at presentation33 (34%)21 (32%)12 (39%)0.5
Received fluid bolus at presentation53 (55%)36 (55%)17 (55%)0.7
Antibiotics delay (hours)2 (1.3–4)2 (1–3.3)2.6 (1.3–9.8)0.09
LP done post first dose of antibiotics57 (59%)30 (45%)27 (87%) <0.0001
Antibiotics to LP time >24 hours33 (59%)14 (47%)19 (70%)0.07
Median time to LP and no bacteria in CSF (hours)46 (24–92.5)24 (15.2–52.8)65 (44–100.8) 0.017
Median time to LP and bacteria in CSF (hours)7.3 (1.5–2.4)3 (1–24)9.5 (2–24)0.3
Empiric antibiotics not in conformity with national guidelines52 (54%)35 (53%)17 (55%)0.9
Discharge to first OPD review (months)2.5 (2.0–3.5)2.5 (2.0–4.0)2.5 (2.0–2.5)0.6
Discharge from follow-up age <12 months13 (14%)12/65 (18%)1/31 (3%) 0.03
Discharge from follow-up age <24 months31 (32%)26/65 (40%)5/31 (16%) 0.02
Hearing test performed in survivors*74 (77%)53/65 (82%)21/31 (68%)0.1
Neurological complications40 (42%)26/65 (40%)14/31 (45%)0.6
Discharge to audiology test (days)25 (0–32)24 (10–42)26 (0–28)0.2
Informed of meningitis support charities13/97 (13%)11/66 (17%)2/31 (6%)0.2
  • *There were 22 survivors without report of hearing test. 12 (13%) had no record of hearing test at review, 5 (5%) were transferred to another hospital where data were not available, and 4 (12%) had the review <1 month after discharge and 1 (1%) missed two appointments.

  • CSF, cerebrospinal fluid; LP, lumbar puncture; OPD, outpatient department.