Epidemiology of Invasive Meningococcal Disease in Colombia: A Retrospective Surveillance Database Analysis

Wilfrido Coronell-Rodriguez1, Diana C Caceres2, Otavio Cintra3

  • 1Faculty of Medicine, University of Cartagena, Serena del Mar Hospital, Cartagena, Colombia.

PubMed
Abstract

Insights

Invasive meningococcal disease (IMD) incidence in Colombia is low but highest in infants. Serogroup C is now dominant, highlighting the need for targeted vaccination strategies.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Public Health

Background:

  • Invasive meningococcal disease (IMD) presents significant morbidity and mortality risks.
  • Understanding the epidemiology of IMD in Colombia is crucial for public health interventions.

Purpose of the Study:

  • To analyze the historical and current epidemiological trends of IMD in Colombia.
  • To identify high-risk populations and geographical distribution of IMD cases.

Main Methods:

  • Retrospective analysis of surveillance data from 1988 to 2021.
  • Data extraction from public reports and hospital records in Cartagena.

Main Results:

  • IMD incidence ranged from 0.04-0.18 per 100,000 between 2015-2021, with highest rates in infants (<1 year).
  • Serogroup C became dominant since 2015, followed by B and Y, shifting from the previous dominance of Serogroup B.
  • Cases concentrated in Bogotá and Antioquia; Cartagena showed higher lethality in poorer neighborhoods.

Conclusions:

  • IMD incidence is low overall but critical in infants.
  • Serogroup C, B, and Y are key targets for vaccination efforts.
  • Targeted vaccination strategies are recommended to align with global meningitis elimination goals.

Related Concept Videos

Investigation of Disease Outbreaks01:23

Investigation of Disease Outbreaks

Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...
Bacterial Meningitis01:24

Bacterial Meningitis

Bacterial meningitis is a severe infectious disease involving inflammation of the meninges, the protective membranes surrounding the brain and spinal cord. It occurs when pathogenic bacteria cross the blood–brain barrier and enter the cerebrospinal fluid. Common causative organisms include Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae type b, Listeria monocytogenes, and Escherichia coli K1. The exact route of entry varies by pathogen and host condition.Routes of Entry...
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
Toxoplasmosis01:28

Toxoplasmosis

Toxoplasmosis, a zoonotic disease caused by the protozoan Toxoplasma gondii, poses significant public health challenges globally due to its high seroprevalence and varied clinical manifestations. As an obligate intracellular parasite, T. gondii can infect all warm-blooded vertebrates, but felids are its only definitive hosts, shedding unsporulated oocysts into the environment. Humans typically acquire the infection through ingestion of tissue cysts in undercooked meat or oocysts from...
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...