Epidemiology of bacterial meningitis

被引:32
作者
Gold, R
机构
[1] Univ Toronto, Dept Pediat, Toronto, ON, Canada
[2] Univ Toronto, Fac Med, Toronto, ON, Canada
[3] Hosp Sick Children, Div Infect Dis, Toronto, ON M5G 1X8, Canada
关键词
D O I
10.1016/S0891-5520(05)70092-1
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Bacterial meningitis caused by Haemophilus influenzae type B (Hib) has almost disappeared from the United States, Canada, and other countries that have implemented routine vaccination with Hib conjugate vaccines. The overall incidence of meningitis in these countries has declined by more than 50%, and the age distribution of susceptibility has shifted, so that the disease is now more common in adults than in children. Another new feature of the epidemiology of bacterial meningitis has been the occurrence of clusters of meningococcal disease. Such clusters have been school related, mainly in adolescents, and most clusters have been associated with a clone of group C, serotype 2a. The role of cigarette smoking as a risk factor for bacterial meningitis has been confirmed and adds urgency to the efforts to control smoking in adolescents and young adults.
引用
收藏
页码:515 / +
页数:12
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