dear mbak yana,
ini saya punya info ttg meningitis, mungkin bisa membantu.
moga-2 si kecil dapat segera sembuh ya.

Quinike


Bacterial Meningitis

Bacterial meningitis is a serious infection of the fluid in the spinal cord 
and the fluid that surrounds the brain.
Bacterial meningitis is most commonly caused by one of three types of 
bacteria: Haemophilus influenzae type b, Neisseria meningitidis, and 
Streptococcus pneumoniae bacteria.
The bacteria are spread by direct close contact with the discharges from the 
nose or throat of an infected person.
Bacterial meningitis can be treated with antibiotics.
Prevention depends on use of vaccines, rapid diagnosis, and prompt treatment 
of close personal contacts.


What is bacterial meningitis?

Meningitis is an infection of the fluid in the spinal cord and the fluid 
that surrounds the brain. Meningitis is usually caused by an infection with 
a virus or a bacterium. Knowing whether meningitis is caused by a virus or a 
bacterium is important because of differences in the seriousness of the 
illness and the treatment needed.

VIRAL MENINGITIS is usually relatively mild. It clears up within a week or 
two without specific treatment. Viral meningitis is also called aseptic 
meningitis.

BACTERIAL MENINGITIS is much more serious. It can cause severe disease that 
can result in brain damage and even death.



What bacteria cause bacterial meningitis?

Bacterial meningitis is most commonly caused by one of three types of 
bacteria: Haemophilus influenzae type b (Hib), Neisseria meningitidis, and 
Streptococcus pneumoniae.

Before the 1990s, Hib was the leading cause of bacterial meningitis, but new 
vaccines being given to children as part of their routine immunizations have 
reduced the occurrence of serious Hib disease. Today, Neisseria meningitidis 
and Streptococcus pneumoniae are the leading causes of bacterial meningitis. 
Meningitis caused by Neisseria meningitidis is also called MENINGOCOCCAL 
MENINGITIS. Meningitis caused by Streptococcus pneumoniae is called 
PNEUMOCOCCAL MENINGITIS.

It is important to know which type of bacteria is causing the bacterial 
meningitis because antibiotics can prevent some types from spreading and 
infecting other people.



Where is bacterial meningitis found?

Bacterial meningitis is found worldwide. The bacteria often live harmlessly 
in a person's mouth and throat. In rare instances, however, they can break 
through the body's immune defenses and travel to the fluid surrounding the 
brain and spinal cord. There they begin to multiply quickly. Soon, the thin 
membrane that covers the brain and spinal cord (meninges) becomes swollen 
and inflamed, leading to the classic symptoms of meningitis.



How do people get bacterial meningitis?

The bacteria are spread by direct close contact with the discharges from the 
nose or throat of an infected person. Fortunately, none of the bacteria that 
cause meningitis are very contagious, and they are not spread by casual 
contact or by simply breathing the air where a person with meningitis has 
been.



What are the signs and symptoms of bacterial meningitis?

In persons over age 2, common symptoms are high fever, headache, and stiff 
neck. These symptoms can develop over several hours, or they may take 1 to 2 
days. Other symptoms can include nausea, vomiting, sensitivity to light, 
confusion, and sleepiness. In advanced disease, bruises develop under the 
skin and spread quickly.

In newborns and infants, the typical symptoms of fever, headache, and neck 
stiffness may be hard to detect. Other signs in babies might be inactivity, 
irritability, vomiting, and poor feeding.

As the disease progresses, patients of any age can have seizures.



Who is at risk for bacterial meningitis?

Anyone can get bacterial meningitis, but it is most common in infants and 
children. People who have had close or prolonged contact with a patient with 
meningitis caused by Neisseria meningitidis or Hib can also be at increased 
risk. This includes people in the same household or day-care center, or 
anyone with direct contact with discharges from a meningitis patient's mouth 
or nose.



How is bacterial meningitis diagnosed?

The diagnosis is usually made by growing bacteria from a sample of spinal 
fluid. The spinal fluid is obtained by a spinal tap. A doctor inserts a 
needle into the lower back and removes some fluid from the spinal canal. 
Identification of the type of bacteria responsible for the meningitis is 
important for the selection of correct antibiotic treatment.

What complications can result from bacterial meningitis?

Advanced bacterial meningitis can lead to brain damage, coma, and death. 
Survivors can suffer long-term complications, including hearing loss, mental 
retardation, paralysis, and seizures.



What is the treatment for bacterial meningitis?

Early diagnosis and treatment are very important. If symptoms occur, the 
patient should see a doctor right away. Bacterial meningitis can be treated 
with a number of effective antibiotics. It is important, however, that 
treatment be started early.



How common is bacterial meningitis?

In the United States, bacterial meningitis is relatively rare and usually 
occurs in isolated cases. Clusters of more than a few cases are uncommon.

In parts of Africa, widespread epidemics of meningococcal meningitis occur 
regularly. In 1996, the biggest wave of meningococcal meningitis outbreaks 
ever recorded hit West Africa. An estimated 250,000 cases and 25,000 deaths 
in Niger, Nigeria, Burkina Faso, Chad, Mali, and other countries paralyzed 
medical care systems and exhausted vaccine supplies.



Is bacterial meningitis an emerging infectious disease?

With the decline in Hib disease, cases of bacterial meningitis have 
decreased since 1986. Meningococcal meningitis is a continuing threat in 
day-care centers and schools. Healthy children and young adults are 
susceptible, and death can occur within a few hours of onset.



How can bacterial meningitis be prevented?

Vaccines -- There are vaccines against Hib, some strains of Neisseria 
meningitidis, and many types of Streptococcus pneumoniae.
The vaccines against Hib are very safe and highly effective. By age 6 months 
of age, every infant should receive at least three doses of an Hib vaccine. 
A fourth dose (booster) should be given to children between 12 and 18 months 
of age.

The vaccine against Neisseria meningitidis (meningococcal vaccine) is not 
routinely used in civilians in the United States and is relatively 
ineffective in children under age 2 years. The vaccine is sometimes used to 
control outbreaks of some types of meningococcal meningitis in the United 
States. New meningococcal vaccines are under development.

The vaccine against Streptococcal pneumoniae (pneumococcal vaccine) is not 
effective in persons under age 2 years but is recommended for all persons 
over age 65 and younger persons with certain medical problems. New 
pneumococcal vaccines are under development.

Disease reporting -- Cases of bacterial meningitis should be reported to 
state or local health authorities so that they can follow and treat close 
contacts of patients and recognize outbreaks.
Treatment of close contacts -- People who are identified as close contacts 
of a person with meningitis caused by Neisseria meningitidis can be given 
antibiotics to prevent them from getting the disease. Antibiotics for 
contacts of a person with Hib disease are no longer recommended if all 
contacts 4 years of age or younger are fully vaccinated.
Travel precautions -- Although large epidemics of bacterial meningitis do 
not occur in the United States, some countries experience large, periodic 
epidemics of meningococcal disease. Overseas travelers should check to see 
if meningococcal vaccine is recommended for their destination. Travelers 
should receive the vaccine at least 1 week before departure, if possible.


Where can I find more information about bacterial meningitis?

http://www.cdc.gov/ncidod/dbmd/bactmen.htm



This fact sheet is for information only and is not meant to be used for 
self-diagnosis or as a substitute for consultation with a health-care 
provider. If you have any questions about the disease described above, 
consult a health-care provider.


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