A decade of invasive meningococcal disease surveillance in Poland

Anna Skoczyńska1, Izabela Waśko, Alicja Kuch

  • 1National Reference Centre for Bacterial Meningitis, Department of Epidemiology and Clinical Microbiology, National Medicines Institute, Warsaw, Poland.

Plos One
|August 27, 2013
PubMed
Abstract

Insights

Invasive meningococcal disease (IMD) epidemiology in Poland showed changes over a decade, with serogroup B and C strains being most common. Increased detection is linked to improved surveillance and diagnostics.

Area of Science:

  • Microbiology
  • Epidemiology
  • Infectious Diseases

Background:

  • Neisseria meningitidis is a primary cause of severe invasive illness.
  • Understanding invasive meningococcal disease (IMD) epidemiology is crucial for public health.
  • This study focuses on laboratory-confirmed IMD cases in Poland.

Purpose of the Study:

  • To characterize the epidemiology of invasive meningococcal disease (IMD) in Poland.
  • To analyze trends in IMD over a ten-year period (2002-2011).
  • To identify causative serogroups and genetic profiles of meningococcal isolates.

Main Methods:

  • Analysis of 1936 laboratory-confirmed invasive meningococcal disease cases from 2002-2011.
  • Bacterial isolate characterization: identification, antimicrobial susceptibility testing, Multi-Locus Sequence Typing (MLST), porA and fetA sequencing.
  • Polymerase Chain Reaction (PCR) used for direct meningococcal identification from clinical samples.

Main Results:

  • Serogroup B and C meningococci were predominant, causing 48.8% and 36.6% of cases, respectively.
  • Highest incidence observed in children under one year; case fatality rate was 10.0% in 2010-2011.
  • Seven serogroup C (ST-11) outbreaks occurred, primarily affecting adolescents. Isolates showed high susceptibility to cephalosporins and ciprofloxacin.

Conclusions:

  • Changes in IMD detection over time are attributed to enhanced surveillance systems.
  • Improved case definitions and inclusion of non-culture diagnostics influenced incidence reporting.
  • Continued monitoring of IMD epidemiology is essential for effective control strategies.

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