CLINICAL AND EPIDEMIOLOGICAL PROFILE OF BACTERIAL MENINGITIS CHILDREN SUSPECTED IN THE ONLY PUBLIC CHILDREN’S HOSPITAL IN BOA VISTA - RORAIMA.

Introduction and Objectives: The infectious meningitis is a disease of the central nervous system, in which the etiology can be viral, bacterial, fungal or parasitic. In Brazil, according to determinations of the Ministry of Health, suspected meningitis cases shall be notified to the Notifiable Diseases Information System (SINAN). After the notification, the SINAN needs to confirm the cases by investigation. This epidemiology research compares the bacterial meningitis confirmed cases between SINAN and medical records analysis. Methodology: The research realized into Hospital Santo Antonio - reference’s public service center to Indians, and borders of the Venezuela and Guyana - was a retrospective and quantitative study of the clinical profile in bacterial meningitis children suspected based on medial reccords, during the period from January 2014 to January 2015 notified in Boa Vista - Roraima. Study's sequence will extend until June 2015 for more conclusions. Results and Conclusions: The initiatory search analyzes 10 suspected cases reported by the Hospital Epidemiological Surveillance Unit, 5 were confirmed while the SINAN confirmed just 4 cases. Among these 10 cases, 9 medical records were found and analyzed, 8 contained the cerebrospinal fluid collection results and 1 related updated vaccination information. It was observed 70%males; 44,4% children younger the 6 months; 66,6% Indians; 44,4% suspected cases in Boa Vista. The signs and symptoms: irritability and convulsions 66,6%; vomiting 55,5%; feed refusal 44,4%; fever 33,3%, bulging fontanelle and intracranial hypertension 11,1%, and no children had Kernig, Brudzinski and neck stiffness positive.