Treatment of Meningococcal Infection
Overview
Affiliations
Aggressive early treatment of meningococcal disease can reduce mortality. This relies on prompt recognition and treatment of the complications of septicaemia and meningitis, appropriate ongoing intensive care where necessary, and adequate management of multiple organ failure. Most children with meningococcal disease survive intact, but long term sequelae are increasingly recognised and make follow up essential. New treatments continue to be evaluated, but none has so far proven to be effective in further reducing morbidity or mortality. Simple, timely therapeutic manoeuvres may greatly improve the prospects for survival.
Invasive Meningococcal Disease in the Vaccine Era.
Nadel S, Ninis N Front Pediatr. 2018; 6:321.
PMID: 30474022 PMC: 6237846. DOI: 10.3389/fped.2018.00321.
Mild meningococcaemia, pyrexia protocols and a problematic public health response.
Allen L BMJ Case Rep. 2014; 2014.
PMID: 24811106 PMC: 4025222. DOI: 10.1136/bcr-2013-203003.
De S, Williams G, Hayen A, Macaskill P, McCaskill M, Isaacs D BMJ. 2013; 346:f866.
PMID: 23407730 PMC: 3571679. DOI: 10.1136/bmj.f866.
Hazarika R, Deka N, Khyriem A, Lyngdoh W, Barman H, Duwarah S Indian J Pediatr. 2012; 80(5):359-64.
PMID: 22821284 PMC: 7101621. DOI: 10.1007/s12098-012-0855-0.
Persistently low plasma thioredoxin is associated with meningococcal septic shock in children.
Callister M, Burke-Gaffney A, Quinlan G, Betts H, Nadel S, Evans T Intensive Care Med. 2006; 33(2):364-7.
PMID: 17115131 DOI: 10.1007/s00134-006-0460-7.