Guidelines for the Early Clinical and Public Health Management of ...

Guidelines for the Early Clinical and Public Health Management of Bacterial Meningitis (including Meningococcal Disease)
Contents
Background to the guidelines.............................................................................................................................. 4
Members of the Working Group............................................................................................................................7
Acknowledgements............................................................................................................................................ 8
Terms of Reference.............................................................................................................................................. 9
Foreword............................................................................................................................................................10
Key Recommendations.......................................................................................................................................11
Glossary of Acronyms.........................................................................................................................................15
Chapter 1. Introduction.......................................................................................................................................16
Chapter 2. Pre-admission Management............................................................................................................. 17
Chapter 3: Hospital Management..................................................................................................................... 20
Chapter 4: Surveillance..................................................................................................................................... 36
Chapter 5. Epidemiology of Meningococcal Disease and other Forms of Bacterial Meningitis (Ireland).............41
Chapter 6. Laboratory Diagnosis of Invasive Meningococcal Disease................................................................ 52
Chapter 7. Public Health Management of Sporadic Cases of Meningococcal Disease........................................ 57
Chapter 8. Management of Clusters/ Outbreaks of Meningococcal Disease...................................................... 67
Chapter 9. Chemoprophylaxis for Contacts of Meningococcal Disease...............................................................73
Chapter 10. Infection Control for Meningococcal Disease...................................................................................77
Chapter 11. Public Health Management of Cases of H. influenza Type b (Hib) Disease....................................... 79
Chapter 12. Public Health Management of Clusters of Serious Pneumococcal Disease......................................81
Appendix 1........................................................................................................................................................ 86
Annual Number of Bacterial Meningitis Notifications by Causative Pathogen, 1999-2010.........................................86
Appendix 2. Useful Resources........................................................................................................................... 87
Appendix 3. Enhanced Surveillance Forms........................................................................................................ 88
Invasive meningococcal disease (Sample).....................................................................................................................89
Invasive pneumococcal disease (Sample)......................................................................................................................90
Invasive Haemophilus influenzae (Sample)................................................................................................................... 92
Contacts’ recording form (Sample)................................................................................................................................ 93
IPD cluster investigation form (Sample)........................................................................................................................94
Appendix 4 – Examples of Chemoprophylaxis Information............................................................................... 95
Rifampicin – Adult..........................................................................................................................................................96
Rifampicin – Child..........................................................................................................................................................98
Ceftriaxone......................................................................................................................................................................99
Ciprofloxacin................................................................................................................................................................. 100
Appendix 5 – Examples of Vaccination Information......................................................................................... 101
MenC- immunisation against meningococcal disease - group C.................................................................................102
Meningococcal vaccine – group A,C,W135,Y – conjugate vaccine................................................................................103
Vaccination administration record for patient............................................................................................................. 104
Appendix 6. Examples of Templates for Letters................................................................................................105
GP whose Patients were Close Contacts and Given Chemoprophylaxis..................................................................... 106
Letter to GP re Rifampicin and Warfarin /Anticonvulsants..........................................................................................107
Letter to GP listing patients who have received meningococcal vaccine.................................................................... 108
Letter informing GP of a case of meningococcal disease in the locality..................................................................... 109
Letter to parents informing them of case of meningococcal disease in their child’s school........................................ 110
Letter informing student of meningococcal case in his/her college............................................................................. 111
Workplace letter.............................................................................................................................................................112
Appendix 7. Examples of Disease Information Leaflets......................................................................................113
Meningococcal disease – meningitis or septicaemia.................................................................................................... 114
Invasive pneumococcal disease – meningitis or septicaemia...................................................................................... 116
Haemophilus influenzae type b disease.........................................................................................................................117
Viral meningitis.............................................................................................................................................................. 118
Refererences.....................................................................................................................................................119
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