Bacterial meningitis primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S [2]

Overview

Primary preventive measures to prevent bacterial meningitis include the following

There are three types of vaccination available for prevention of bacterial meningitis from three bacterial agents. These include:^[1]^[2]^[3]^[4]


Type of Vaccination	Recommendations
Vaccinations
Pneumococcal^[5] Pneumococcal conjugate vaccine(PCV13) Pneumococcal polysaccharide vaccine(PPSV23)	Pneumococcal conjugate vaccine Children under 2 years of age Older people >65 years of age Individuals 2 to 65 years of with medical conditions such as patients with CKD, cochlear implants, asplenia Pneumococcal polysaccharide vaccine All adults 65 years or older People 2 to 65 years with certain medical conditions such as diabetes and chronic heart, lung or liver disease Adults 19 to 64 years who smoke cigarettes
Meningococcal^[6] Meningococcal conjugate vaccines Meningococcal polysaccharide vaccine Serogroup B meningococcal vaccines	Children and adolescents age 11 through 18 Military recruits College students living in dorms Splenectomy or splenic damage Person having complement deficiency People travelling to endemic areas such as Africa
Hemophilus influenza type b (Hib)^[7]	All children younger than 5 years of age People at increased risk of invasive hib infection such as asplenia, HIV infection Unvaccinated older individuals or adults with medical conditions ^[8]


Preventive strategy	Recommendations
Other preventive measures
Avoidance of risk factors
Droplet precaution	People exposed to patients within three to six feet of the patient should wear surgical mask Doors of the room where patient resides should be kept open
Chemoprophylaxis	Chemopropylaxis required for suspected or confirmed cases of meningococcal infection All household members Roomates or intimate contacts Child care workers People directly exposed to patient's respiratory or oral secretions Airline travelers seated close to affected person > 8 hours