Ayten Erginel

Prognostic factors in meningococcal disease and a new scoring system

One‐hundred‐and‐forty patients diagnosed as having meningococcal disease have been investigated retrospectively with respect to prognostic factors. The overall mortality was 8.6%, the mortality rate of the infants under 6 months of age being higher than that of the other groups. In cases where there was no meningitis or leucocytosis, the presence of hypotension, disturbed consciousness and diffuse petechiae increased the mortality rate significantly. High fever did not have any effect on mortality. We propose a new practical and reliable scoring system for meningococcal disease for determining the influence of prognostic factors on mortality.

Meningokok Hastalıklarında Prognostik Faktörler ve Yeni Bir Skorlama Sistemi

140 patients diagnosed as meningococcal disease have been investigated retrospectively The mortality rate was increased significantly in cases associated with hypotension disturbed consciousness existence of diffuse petechie and purpura and who did not have meningitis and leuococytosis High fever and ESR did not show any effect on mortality A new easily appliable and highly effective scoring system has been developed with scoring points based on the degree of influence of factors effecting mortality Key words: Meningococcal Disease Prognostic Factors Scoring System