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Streptococcal meningitis following myelogram procedures

Jennifer Hsu1, Bette Jensen, Matthew Arduino

  • 1Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.

Infection Control and Hospital Epidemiology
|April 28, 2007
PubMed

Insights

Post-myelography meningitis cases were linked to streptococcal infections. Droplet transmission from clinicians performing the procedure is the likely source, highlighting the need for face masks.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Public Health

Background:

  • Meningitis following myelography is a rare but serious complication.
  • Previous studies have explored potential causes of post-procedural infections.

Purpose of the Study:

  • To investigate the source and causative agents of seven cases of meningitis occurring after myelography in September 2004.
  • To identify transmission routes and recommend preventive measures.

Main Methods:

  • Case series investigation of seven patients with post-myelography meningitis.
  • Microbiological analysis of blood and cerebrospinal fluid (CSF) samples.
  • Epidemiological investigation to determine the source of infection.

Main Results:

  • Streptococcal species were identified in blood or CSF samples from all seven patients.
  • Droplet transmission of oral flora from the performing clinician was identified as the most probable source.
  • The infections were linked to the myelography procedure.

Conclusions:

  • Clinician-to-patient droplet transmission is a significant risk factor for post-myelography meningitis.
  • The Centers for Disease Control and Prevention (CDC) recommends face mask usage during myelography to prevent such infections.

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