Clinical course, etiology and the results of treatment of the suppurative meningitis in 219 adult patients are discussed. Clinical course was extremely severe in 63.3% of the patients, moderately severe in 33.8% of the patients, and complicated by various coexisting disorders and skull trauma in several patients (35.7%). Mortality rate was 8.6%. Combined therapy with 2 or 3 synergetically acting antibiotics was administered. An emphasis is on diagnostic problems especially in patients treated with various antibiotics prior to hospitalization (37.1%) and low percentage of bacteriological tests (22.9%).
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