Abstract

RODRIGUEZ HEREDIA, Odalys; RODRIGUEZ HEREDIA, Ovidia; SANCHEN CASAS, Alexis  and  ATRIO MOURINO, Nieves. Behavior of the meningococcal disease and vaccination in Camagüey province. AMC [online]. 2008, vol.12, n.3. ISSN 1025-0255.

Background: The infections of the central nervous system produced by bacteria constitute an important health problem in all the planet regions and represent a challenge for the attending physician, the microbiologist and the epidemiologist. Objective: To analyze the behavior of the meningococcal disease and vaccination in Camagüey province. Method: A retrospective, longitudinal, and descriptive study on the behavior of the meningococcal disease and vaccination in Camagüey province was performed from 1997 to 2006. All the notified cases in the said stage in vaccinal age were selected. Results: The highest rates of meningococcal disease were observed in the years 1997, 2000, 2001 and 2004. The male sex predominated, and the age group less than a year. By municipalities, Sierra de Cubitas in the year 2004 resulted the highest rate of incidence. September, January, August and October were the months with major reports. Out of a total of 23 patients, 22 were positive to the direct exam of the cerebrospinal fluid, 23 to the culture and ten to the blood culture. In the meningococcemia, the highest rate was in the year 2000, where the female sex predominated, and the age group of 10-14 years, Minas municipality in the year 2000 with the highest rate, January, February and June were the months with the greatest number of sickpeople. Out of a total of four cases, three were positive to the direct exam of the cerebrospinal fluid, four to the culture, one to the blood culture and four to the direct exam of petechiae and culture of the same ones. Lethality was zero, of the children in vaccination age, 19 presented complete VA-MENGO-BC schema, five did not have schema and three had it incomplete. Conclusions: Of the 27 patients with Neisseria meningitidis, four presented after-effects, of them two with hypoacusis, one hydrocephaly and a mental retardation

Keywords : meningococcal infections; cerebrospinal fluid; incidente; epidemiology descriptive; child.

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