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.

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