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The elusive meningococcal meningitis serogroup: a systematic review of serogroup B epidemiology
Vanessa N Racloz1, Silva J D Luiz
1Swiss Tropical Institute, Socinstrasse 57, 4002, Basel, Switzerland. vracloz@gmail.com
Background:
Invasive meningococcal disease (IMD), is a widely distributed, complex human disease affecting all age categories. The causative agent, Neisseria meningitidis, is spread through aerosol respiratory droplets. 13 different serogroups have been identified, each with varying epidemiological features including prevalence, virulence, immunogenicity, geographical and temporal distribution. Although preventative measures are available for several of the serogroups, meningococcal disease caused by serogroup B is of particular interest due to the challenge it presents concerning vaccine development.
Methods:
A systematic review of peer reviewed studies and reports, the collection of data from national and international health resources, along with the analysis of the Multi Locus Sequence Typing database was carried out aimed at collecting information concerning serogroup B IMD and the epidemiology attached to it.
Results:
A continuous output of related and novel STs occurring worldwide in terms of the hypervirulent clonal complexes was observed both in published studies and the MLST database in this case using the eburst software, which highlights the genetically diverse nature of serogroup B strains.
Conclusions:
With the recent dominance of serogroup B IMD seen in many countries, along with the presence of antibiotic resistance, vaccine development needs to target areas of the bacterium which tackle this widespread and heterogeneous aspect of meningococcal meningitis disease.
Insights
Serogroup B invasive meningococcal disease (IMD) is a global health concern. Its genetic diversity and antibiotic resistance present challenges for developing effective vaccines against Neisseria meningitidis.
Area of Science:
- Microbiology
- Epidemiology
- Vaccinology
Background:
- Invasive meningococcal disease (IMD) is a significant global health issue caused by Neisseria meningitidis.
- Thirteen serogroups of N. meningitidis exist, each with distinct epidemiological characteristics.
- Serogroup B strains pose particular challenges for vaccine development due to their heterogeneity.
Purpose of the Study:
- To investigate the epidemiology of serogroup B invasive meningococcal disease.
- To analyze the genetic diversity of serogroup B strains.
- To inform vaccine development strategies.
Main Methods:
- Systematic review of peer-reviewed studies and reports.
- Data collection from national and international health resources.
- Analysis of the Multi Locus Sequence Typing (MLST) database using eburst software.
Main Results:
- Observed continuous emergence of novel Sequence Types (STs) globally.
- Identified hypervirulent clonal complexes within serogroup B strains.
- Highlighted the significant genetic diversity of serogroup B Neisseria meningitidis.
Conclusions:
- Serogroup B IMD is increasingly dominant in many countries.
- Antibiotic resistance is a growing concern in serogroup B strains.
- Vaccine development must address the widespread and heterogeneous nature of serogroup B meningococcal disease.
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