Diagnosing and managing invasive meningococcal disease in children

Yeovil District Hospital NHS Foundation Trust, Somerset.
Emergency nurse: the journal of the RCN Accident and Emergency Nursing Association 05/2013; 21(2):24-7. DOI: 10.7748/en2013.
Source: PubMed


In developed countries, invasive meningococcal disease (IMD) is a leading infectious cause of death among children. In the UK, Neisseria meningitidis serogroup B is the most frequently identified cause of IMD. This article describes a clinical audit in which early management of IMD is compared with recommendations in the relevant guidelines. It confirms the importance of early recognition of IMD and the need to review previous, less serious diagnoses in ill children. Emergency department nurses play a vital role in the early recognition and management of IMD. Introduction of a meningococcal B vaccine is likely to benefit children in the UK.

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Available from: Paul Heaton, Jan 07, 2015
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    ABSTRACT: Meningococcal disease is a leading cause of death in children and young people. It causes two major disease processes, meningococcal septicaemia and meningococcal meningitis, and often results in long-term health complications. It remains a difficult disease to recognise and treat. This article, part one in a two-part series, discusses the epidemiology of meningococcal disease and explains its pathophysiology as well as signs and symptoms. Part 2, to be published on 19 March, will review diagnosis, management and prevention.
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