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Updated: Sep 20, 2026

Visualisation and Quantification of Intracellular Interactions of Neisseria meningitidis and Human α-actinin by Confocal Imaging
Published on: October 24, 2010
Carriage of Neisseria meningitidis: investigations in a military establishment
J V Pether1, N F Lightfoot, R J Scott
1Public Health Laboratory Service, Taunton Hospital, Musgrove Park Branch.
Abstract:
A prevalence study of personnel on a Royal Naval Air Station revealed that 23.0% of 2479 personnel were carrying a meningococcus. Selected groups of personnel were subsequently swabbed monthly for a year. We have shown that it is only by repeated swabbing and the use of optimal methods including enrichment media that one can have a hope of identifying the 'true' carriage rate. A presumed virulent strain of Neisseria meningitidis B15 P1.16 was repeatedly isolated from three personnel who remained well, as did their colleagues both at their work place and socially. The study served to emphasize our lack of knowledge of the virulence factors associated with N. meningitidis.
Insights
A study found 23% of naval personnel carried meningococcus. Repeated swabbing and optimal methods are crucial for accurately determining meningococcus carriage rates in populations.
Area of Science:
- Microbiology
- Epidemiology
- Public Health
Background:
- Neisseria meningitidis is a significant human pathogen.
- Understanding meningococcal carriage is crucial for controlling outbreaks.
- Previous carriage rate estimations may be inaccurate.
Purpose of the Study:
- To determine the prevalence of meningococcal carriage in a Royal Naval Air Station population.
- To evaluate the effectiveness of different swabbing methods for identifying carriers.
- To investigate the persistence of specific meningococcal strains within a population.
Main Methods:
- Prevalence study involving 2479 naval personnel.
- Monthly serial swabbing of selected personnel over one year.
- Utilized optimal swabbing techniques and enrichment media for bacterial isolation.
Main Results:
- Identified a 23.0% prevalence of meningococcal carriage.
- Demonstrated that repeated swabbing with optimal methods is essential for accurate carriage rate determination.
- Repeatedly isolated a presumed virulent strain (Neisseria meningitidis B15 P1.16) from asymptomatic individuals and their close contacts.
Conclusions:
- Accurate meningococcal carriage rate assessment requires rigorous and repeated sampling.
- The study highlights the asymptomatic carriage of potentially virulent strains.
- Further research is needed to understand the virulence factors of Neisseria meningitidis.
Related Concept Videos
Bacterial Meningitis
Viral Meningitis
Bacterial Meningitis I: Introduction
Bacterial Meningitis II: Pathophysiology

