الفهرس 
INTRODUCTION AND AIM OF WORKOnly 14 pages are availabe for public view
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Abstract
Acute bacterial meningitis is the condition that results
from invasion of meninges by bacteria that induce an acute
inflammatory response. This acute inflammatory reaction,
which involves the arachnoid and the pia mater, is characterized
by a polymorphnuclear neutrophil leukocyte exudate
( Gr>een~>ood, 1984}.
Purulent meningitis continues to be important type of
meningitis in infancy and childhood. Certain types of meningitis
occur more frequently. Although marked advances in
antimicrobial therapy have been made, morbidity and mortality
are significant, especially when adelay in diagnosis
and initiation of treatment has occured fGcr>dcn,
l982) ~ In clinical practice, physicians may not be able to
differentiate bacterial meningitis from non-bact~rial infection.
Antimicrobial agents may have to be preseribed and
continued during the course of the illness, without bacteriologic
confirmation of the diagnosis.