[Prevention of meningococcal meningitis]
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Updated: Oct 17, 2026

Inducing Meningococcal Meningitis Serogroup C in Mice via Intracisternal Delivery
Published on: November 5, 2019
S Kastenbauer1, B Grabein, H W Pfister
1Neurologische Klinik, Klinikum Grosshadern, München.
Abstract:
In Germany, the incidence of meningococcal disease is approximately 1/100,000 and has not risen during recent years. Transmission occurs by direct contact with respiratory droplets, mostly from asymptomatic carriers and less frequently from patients with meningococal disease. The incubation period can vary from 2-10 days but usually is 3-4 days. Incidence is highest in children and decreases with age. The mortality from meningococcal disease is approximately 10%. In case meningococcal meningitis is clinically suspected antibiotic treatment (in Germany with penicillin G or a cephalosporin) should not be delayed. Patients must be isolated for at least 24 hours after the institution of antibiotic therapy. For early detection of local outbreaks, public health authorities should be quickly informed of suspected cases. Persons in close contact should be treated with antimicrobial chemoprophylaxis. In addition to rifampin, ciprofloxacin or ceftriaxone can be used for chemoprophylaxis. For control of local outbreaks of serogroup C meningococcal disease, the meningococcal vaccine can be used.
Insights
Meningococcal disease in Germany affects about 1 in 100,000 people, primarily children. Prompt antibiotic treatment and chemoprophylaxis are crucial for managing cases and preventing outbreaks.
Area of Science:
- Epidemiology
- Infectious Diseases
- Public Health
Context:
- Meningococcal disease incidence in Germany is stable at approximately 1/100,000.
- Transmission primarily occurs via respiratory droplets from asymptomatic carriers.
- Disease incidence peaks in children and declines with age.
Purpose:
- To summarize key epidemiological features of meningococcal disease in Germany.
- To outline current recommendations for clinical management and public health response.
- To highlight strategies for outbreak control.
Summary:
- The incubation period for meningococcal disease is typically 3-4 days (2-10 days range).
- Mortality associated with meningococcal disease is around 10%.
- Immediate antibiotic treatment (penicillin G or cephalosporin) is vital for suspected cases, followed by 24-hour isolation.
Impact:
- Rapid reporting of suspected cases to public health authorities aids early outbreak detection.
- Antimicrobial chemoprophylaxis (e.g., rifampin, ciprofloxacin, ceftriaxone) is recommended for close contacts.
- Meningococcal vaccines are effective for controlling serogroup C outbreaks.
Related Concept Videos
Bacterial Meningitis I: Introduction
Bacterial Meningitis
Cryptococcal Meningitis
Bacterial Meningitis II: Pathophysiology
Viral Meningitis
Respiratory Syncytial Virus Disease
