Bacterial meningitis secondary prevention

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Primary Prevention

Secondary Prevention

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


There are no specific secondary prevention strategies for bacterial meningitis. However, secondary prevention stratgies which may help prevent complications, morbidity, mortality and secondary cases may include early diagnosis and treatment, identification of specific pathogen and pathogen directed therapy, admission and constant monitoring of patients prone to develop complications. Chemoprophylaxis with rifampicin for carriers and suspected cases may help to develop full blown disease.[1][2]

Secondary prevention

Secondary prevention strategies for to prevent complications and significant morbidity may include:[1][2][3]

  • Early diagnosis and initiation of treatment
  • Admission and constant monitoring in patients susceptible to develop complications
  • Chemoprophylaxis for suspected cases or carriers of Hemophilus influenza and Neisseria meningitidis


  1. 1.0 1.1 Mayon-White, R. T., and P. T. Heath. "Preventative strategies on meningococcal disease." Archives of disease in childhood 76.3 (1997): 178-181.Accessed on 6th Jan, 2017
  2. 2.0 2.1 Purcell B, Samuelsson S, Hahné SJ, Ehrhard I, Heuberger S, Camaroni I; et al. (2004). "Effectiveness of antibiotics in preventing meningococcal disease after a case: systematic review". BMJ. 328 (7452): 1339. doi:10.1136/bmj.328.7452.1339. PMC 420283. PMID 15178612.
  3. Ahlawat S, Kumar R, Roy P, Varma S, Sharma BK (2000). "Meningococcal meningitis outbreak control strategies". J Commun Dis. 32 (4): 264–74. PMID 11668937.

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