About this trial
Prospective, multicenter, observational clinical registry of adult patients with acute infectious meningitis across approximately 30 public and private hospitals in Brazil. The study will include adults, 18 years old and older, with suspected acute infectious meningitis. Data will be collected during hospitalization and post-discharge to evaluate clinical management, treatment and short and long-term outcomes. The study aims to generate real-world evidence on current practices and outcomes to support improvements in national care protocols.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Fever (axillary temperature ≥37.8°C) followed by two or more of the following symptoms: severe headache, vomiting, altered consciousness (confusion, drowsiness, or irritability), photophobia (increased sensitivity to light), presence of seizures OR
Fever accompanied by at least one meningeal irritation sign, such as neck stiffness, Kernig's sign, or Brudzinski's sign OR
Sudden onset of fever and appearance of petechial skin rash or hemorrhagic suffusions
Disqualifiers
None
Trial population
Adult, ≥ 18 years old, suspect acute meningitis infection
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Mortality, re-hospitalization, length of hospital stay and sensory hearing loss
The primary outcome is a composite endpoint that includes: Incidence of all-cause death Incidence of all-cause re-hospitalization Length of initial hospital stay (measured in days) Incidence of sensory hearing loss
Secondary outcomes
Patients with guideline-directed therapy
Proportion of patients receiving empirical and targeted therapies according to national meningitis management guidelines
Mortality in six months
Incidence of all-cause mortality
Length of hospitalization by etiology
Length of hospitalization (in days), stratified by infectious etiology
Re-hospitalization rate
Rate of all-cause re-hospitalization
Sponsors and contacts
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Hospital Israelita Albert Einstein
Lead sponsor
Ministry of Health, Brazil
Collaborator