In order to obtain epidemiological data on the incidence of bacterial meningitis (BM) before the systematic introduction of vaccination against Haemophilus influenzae type b, a retrospective study of 124 children with proven BM was performed in an urban area in Belgium.
N. meningitidis was the most prevalent cause, followed by H. influenzae and S. pneumoniae.
Over a period of 6 years the incidence of BM increased ten fold, mainly due to an increase in N. meningitidis.
The median age of the children with BM was 17 months and 35% of those with H. influenzae were younger than I year.
Significant risk factors for BM as a whole were : age under 1 year, male gender, non-Caucasian descent and winter time.
These findings may have implications for future vaccination policy in Belgium.
Conclusion Future vaccination schemes in Belgium should take - into account that N. meningitis was the prevalent cause of bacterial meningitis and that certain factors increase the risk for developing bacterial meningitis.
Mots-clés Pascal : Méningite, Enfant, Homme, Incidence, Epidémiologie, Facteur risque, Belgique, Europe, Politique sanitaire, Système nerveux pathologie, Système nerveux central pathologie, Bactériose, Infection, Milieu urbain
Mots-clés Pascal anglais : Meningitis, Child, Human, Incidence, Epidemiology, Risk factor, Belgium, Europe, Health policy, Nervous system diseases, Central nervous system disease, Bacteriosis, Infection, Urban environment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0288234
Code Inist : 002B05B02I. Création : 15/07/1997.