New Guidelines for Meningitis

Posted on: 07/01/2008

New Guidelines for Meningitis Vaccination in Your Child.

In May 2005, the American Academy of Pediatrics (AAP) endorsed new meningococcal vaccine guidelines. Their new policy statement recommends routine vaccination to prevent bacterial meningitis for certain age groups. The guidelines call for vaccination in:

• Young adolescents (11-12 years of age)
• Adolescents at high school entry or 15 years of age (whichever comes first) if not previously vaccinated
• All college freshmen living in dormitories
• Other groups at high risk such as those with underlying medical conditions or travelers to epidemic areas
  

The leading cause of bacterial meningitis is caused by an organism known as Neisseria meningiditis. It is the most common cause of meningitis in toddlers, adolescents, and young adults in the U.S. Although meningococcal disease is rare, it is dangerous due to the rapid progression of the disease. Within hours of the onset of symptoms, permanent disability or death can ensue.

Meningococcal infections can be treated with drugs such as penicillin. However, prevention through routine vaccination is 99% effective. The vaccine recommended gives protection against four subgroups of N. meningitidis , A, C, W, & Y. These, and a subgroup B cause the most serious disease. Currently, there is not a vaccine available against subgroup B. Vaccinating the 11 year olds may give lasting immunity through college. Studies show the disease peaks in 16-18 year olds.

We at Complete Children's Health have the vaccine available, and have been administering it to the high risk populations mentioned above. However, we also feel the vaccine is appropriate for ANY child ages 11-12 years of age and above given most students are in "crowded" conditions in school, which is one of the leading causes of spreading the disease. The vaccine we have is called Menactra, or MCV4. Your provider or nurse will be happy to discuss whether or not it's right for your child.