2. What is Meningitis?
Infection of the fluid in the spinal cord and the fluid that surrounds
the brain
Viral or Bacterial
Etiology is important because of the seriousness of the illness and the
treatment needed
3. Viral Meningitis
Usually clears up in a week or two with no specific treatment
Common; rarely serious infection of fluid in the spinal cord or fluid
that surrounds the brain
Also called aseptic meningitis
4. Causes of Viral Meningitis
Caused by a number of different viruses
mosquito-borne viruses
occasionally seen after strep throat in young adults
common intestinal viruses account for half of U.S. cases
per year
5. Signs and Symptoms
Usually occur one week after exposure
Fever
Headache
Stiff neck
Tiredness
Rash
Sore Throat
Vomiting
6. Treatment and Prevention
No specific treatment for viral meningitis
Antibiotics do not work on viruses
Pay careful attention to personal hygiene
Good hand-washing helps prevent spread of infection
and viruses
7. Bacterial Meningitis
A serious infection of the fluid of the spinal cord and
the fluid that surrounds the brain
Results from bacterial invasion of membrane that covers
the brain and spinal cord (meninges)
Meninges become swollen and inflamed, leading to
classic s/s of meningitis
8. Causes of Bacterial Meningitis
Three common bacteria:
Haemophilus influenza type b (Hib)
Neisseria meningitidis
Causes Meningococcal Meningitis
Streptococcus pneumoniae
Causes Pneumococcal Meningitis
9. How do people get Bacterial
Meningitis?
Bacteria are spread through direct contact with
secretions from the nose or throat of an infected person
None of the bacteria that cause meningitis are very
contagious
Not spread by casual contact or by simply breathing the
same air where the person infected has been
10. Signs and Symptoms
Under Age 2
Fever
Headache
Stiff neck
Inactivity
Vomiting
Poor feeding
Seizures
May be hard to detect in
infants
Over age 2
High fever
Headache
Stiff neck
Nausea and vomiting
Sensitivity to light
Confusion
Sleepiness
Petechiae that spreads
rapidly
seizures
11. Diagnosis & Treatment
Diagnosed via lumbar puncture (spinal tap)
Check for bacterial growth in the spinal fluid
Antibiotic administration based on bacteria found
Close contacts identified and treated also
Early diagnosis and treatment important
12. Potential Complications
Advanced bacterial meningitis can lead to brain
damage, coma, and death
Survivors can suffer long-term hearing loss, mental
retardation, paralysis, and seizures
13. Vaccinations
Hib vaccine (3 doses by
6 months of age and a
booster between 12-18
months of age)
Meningococcal vaccine
not routinely given to
civilians in U.S. because
most outbreaks occur in
Africa
Pneumococcal vaccine
ineffective in persons
under age 2
Recommended for all
persons over age 65
with certain medical
problems
14. Travel Precautions
Check with your local health department if you are
planning to travel outside the country.
If meningococcal vaccination is recommended or
required, it should be received at least one week before
departure if possible.
15. Source
American College Health Association, Baltimore, MD
(2007) www.acha.org/meningitis
Centers for Disease Control and Prevention (2007).
www.cdc.gov/ncidod/dbmd/diseaseinfo/meningococcal
_g.htm.