Characteristics of Neisseria meningitidis isolates causing fatal disease

Susanne Jacobsson1, Per Olcén, Margareta Löfdahl

  • 1National Reference Laboratory for Pathogenic Neisseria, Department of Clinical Microbiology, Orebro University Hospital, Orebro, Sweden. susanne.jacobsson@orebroll.se

Insights

Fatal meningococcal isolates were characterized by serogroup, serotype, and genosubtype. Serogroup Y and specific genosubtypes were linked to higher mortality, while certain other genosubtypes and penicillin G resistance were associated with decreased fatality.

Area of Science:

  • Microbiology
  • Epidemiology
  • Vaccinology

Background:

  • Neisseria meningitidis causes invasive meningococcal disease with varying fatality rates.
  • Understanding isolate characteristics is crucial for disease prevention and vaccine development.

Purpose of the Study:

  • To characterize fatal and non-fatal meningococcal isolates in Sweden (1995-2004).
  • To identify factors associated with mortality.
  • To estimate the coverage of existing outer membrane vesicle (OMV) vaccines against fatal isolates.

Main Methods:

  • Analysis of 62 fatal and 474 non-fatal meningococcal isolates.
  • Characterization by serogroup, serotype, genosubtype, multilocus sequence type, and antibiogram.
  • Gathering of basic epidemiological data.

Main Results:

  • Serogroup B predominated in fatal isolates (55%), followed by C (27%), Y (15%), and W-135 (3%).
  • Higher mortality was associated with serogroup Y, specific serotypes (14, 15), and certain genosubtypes.
  • Reduced penicillin G sensitivity and other specific genosubtypes correlated with decreased mortality.

Conclusions:

  • Specific genosubtypes and serogroups influence meningococcal disease mortality.
  • Outer membrane vesicle (OMV) vaccines show theoretical coverage potential for fatal serogroup B cases.
  • Further research into genosubtype-specific immunity is warranted for vaccine improvement.

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