Mass antibiotic treatment to stop an outbreak of meningococcal disease: A molecular analysis

Liors Hlomit Katz, A. Zelazny, S. Scharf, A. Hourvitz, N. Asor, Y. Arbeli, S. Yust-Katz, G. Smollan-Fredman, M. Gdalevich

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

The occurrence of three cases of meningococcal disease among children in a small community, two of whom attended the same day-care centre, prompted a programme of mass antibiotic prophylaxis. Nasopharyngeal and throat swabs were obtained on three occasions from all children registered at the day-care centre. Serogroup B Neisseria meningitidis was isolated from 13 of 61 children before prophylaxis, from three children after 2 weeks, and from 19 children after 3 months. Repetitive extragenic palindromic PCR analysis identified several meningococcal strains before treatment, one of which became predominant after 3 months. Mass antibiotic prophylaxis initially suppressed meningococcal carriage, but the carriage rate subsequently rebounded.

Original languageEnglish
Pages (from-to)943-946
Number of pages4
JournalClinical Microbiology and Infection
Volume13
Issue number9
DOIs
StatePublished - 1 Jan 2007
Externally publishedYes

Keywords

  • Carriage
  • Children
  • Meningococci
  • Neisseria meningitidis
  • Prophylaxis
  • REP-PCR

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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