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Published on: July 24, 2016
Maternal and perinatal factors associated with subsequent meningococcal, Haemophilus or enteroviral meningitis in
M J Goldacre1, C J Wotton1, J J Maisonneuve1
1Unit of Health-Care Epidemiology, Department of Public Health, University of Oxford, Old Road Campus, Oxford, UK.
Insights
Maternal smoking increases meningococcal meningitis risk, while older siblings are linked to Haemophilus meningitis. Low birth weight and male sex are associated with enteroviral meningitis, highlighting maternal factors in disease risk.
Area of Science:
- Epidemiology
- Pediatric Infectious Diseases
- Public Health
Background:
- Meningitis remains a significant cause of childhood morbidity.
- Understanding risk factors for different types of meningitis is crucial for prevention and early intervention.
Purpose of the Study:
- To investigate the influence of family, maternal, and perinatal factors on subsequent hospital admission for meningococcal, Haemophilus, and enteroviral meningitis in children.
- To identify specific risk factors associated with each type of meningitis.
Main Methods:
- Utilized a large birth database (248,659 births) from the Oxford record linkage archive (1979-1999).
- Employed multivariate analysis to assess the significance of various factors.
- Followed children for subsequent disease development.
Main Results:
- Maternal smoking showed a significant association with meningococcal meningitis (OR 2.1).
- Having older siblings was linked to Haemophilus meningitis (OR 3.3 for second-born vs. first-born).
- Low birth weight (OR 2.2) and male sex (OR 1.7) were associated with enteroviral meningitis. A history of enteroviral meningitis in mothers was also noted.
Conclusions:
- Several maternal characteristics significantly influence the risk of developing meningococcal, Haemophilus, and enteroviral meningitis.
- Specific perinatal and family factors are associated with distinct types of meningitis, suggesting targeted preventive strategies may be possible.
Abstract:
We used a database of 248 659 births, with follow-up to subsequent disease, in the Oxford record linkage archive (1979-1999) to study the influence of family, maternal, and perinatal factors on subsequent hospital admission for meningococcal, Haemophilus, and enteroviral meningitis in the children. In this summary, we report key findings that were significant in multivariate analysis. Meningococcal meningitis was significantly associated with maternal smoking [odds ratio (OR) 2·1, 95% confidence interval (CI) 1·2-3·7]. Haemophilus meningitis was associated with having older siblings (e.g. second child compared to first-born, OR 3·3, 95% CI 2·0-5·6). Enteroviral meningitis was associated with low birth weight (OR 2·2, 95% CI 1·3-3·6) and male sex (OR 1·7, 95% CI 1·2-2·3). The mothers of six of the 312 children with enteroviral meningitis had previously had enteroviral meningitis themselves. We concluded that several maternal characteristics influence the risk of these types of meningitis.
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