Table IV.
Results of multiple regression analysis of factors associated with an abnormal brain MRI and neurosurgical intervention in the 75 infants with bacterial meningitis who had MRI performed
Brain MRI | Neurosurgical intervention after MRI | |||||||
---|---|---|---|---|---|---|---|---|
Abnormal | Normal | OR | Neurosurgery | No neurosurgery | OR | |||
MRI | MRI | P value | (95% CI) | after MRI | after MRI | P value | (95% CI) | |
No. of infants (n = 75) | 61 | 14 | - | - | 17 | 58 | - | - |
Late seizures (n = 38) | 37 (97%) | 1 (3%) | .0001 | 20 (2.4–163) | 11 (29%) | 27 (71%) | .18 | 2.1 (0.68–6.5) |
New onset of fever (n = 10) | 8 (80%) | 2 (20%) | 1 | 0.8 (0.1620134.5) | 3 (30%) | 7 (70%) | .55 | 1.5 (0.35–6.8) |
Fever for ≥4 d (n = 18) | 15 (83%) | 3 (17%) | .68 | 1.1 (0.2–4.86) | 6 (33%) | 12 (67%) | .21 | 2.0 (0.64–6.8) |
Abnormal neurologic examination (n = 25) | 24 (96%) | 1 (4%) | .01 | 8.4 (1.0–68.7) | 8 (32%) | 17 (68%) | .17 | 2.1 (0.7–6.49) |
Positive CSF culture >48 h (n = 18) | 16 (89%) | 2 (11%) | .16 | 2.1 (0.4–10.5) | 8 (44%) | 10 (56%) | .01 | 4.2 (1.3–13.7) |