Meningococcal Infection

Generalities
Agent	Bacteria: Neisseria meningitidis (meningococcus), Gram negative diplococci - 12 serogroups have been identified - Six serogrouprs are responsible of invasive infection: A, B, C, W135, X, and Y.
Incubation period	2-10 days, commonly 3-4 days
Period of transmissibility	Cases should be considered infectious from exposure until 24 hours after starting treatment of prophylaxis with appropriate antibiotics with substantial concentrations in oro/nasopharyngeal secretions
Reservoir	- Humans - Asymptomatic carriage in nasopharynx is common.
Modes of transmission	- Person-to-person transmission by direct contact with respiratory droplets of infected people - Most cases acquired through exposure to asymptomatic carriers
Clinical presentation	- Bacterial meningitis - Septicaemia: rare ans severe with purpura - Complications: cerebral lesions, hearing loss, learning disorders among 10-20% of survivors - Case fatality: 8-15% despite treatment
Resources
Case definition	- MOPH circular no. 63 (2007) - MOPH circular no. 72 (2003): contacts
Forms	- Meningitis reporting form - Meningitis investigation form
Data	- Weekly report

ATC	Name	B/G	Ingredients	Dosage	Form	Price
S01GX09	PATANOL	B	Olopatadine (HCl) - 0.1%	0.1%	Drops solution	873,498 L.L
S01GX09	CONJYCLEAR	G	Olopatadine (HCl) - 0.1%	0.1%	Drops solution	510,660 L.L
S01GX09	OLOPAT	G	Olopatadine (HCl) - 0.1%	0.1%	Drops solution	524,099 L.L
S01GX09	OLOPAT UD	G	Olopatadine (HCl) - 0.1%	0.1%	Drops solution	1,523,917 L.L
S01GX08	ZALERG	G	Ketotifen - 0.25mg/ml	0.25mg/ml	Drops solution	446,156 L.L
S01GX08	BRUNISTILL	G	Ketotifen - 250mcg/ml	250mcg/ml	Drops solution	940,690 L.L
S01GX07	ALLERGODIL	B	Azelastine HCl - 0.5mg/ml	0.5mg/ml	Drops solution	709,549 L.L
S01GX02	LEVOPHTA	B	Levocabastine HCl - 0.5mg/ml	0.05%	Suspension	682,672 L.L
S01GA52	TRILLERG	G	Antazoline HCl - 0.5mg, Tetryzoline HCl - 0.4mg		Drops solution	310,428 L.L
S01GA51	NAPHCON A	B	Naphazoline HCl - 0.025%, Pheniramine maleate - 0.3%		Drops solution	369,557 L.L
S01GA04	ALERJON	G	Oxymetazoline HCl -		Drops solution	528,130 L.L
S01GA01	IRIDINA DUE	G	Naphazoline HCl - 0.5mg/ml	0.5mg/ml	Drops solution	469,001 L.L
S01FB01	PHENYLEPHRINE/ COOPER	G	Phenylephrine HCl - 10%	10%	Drops solution	278,175 L.L
S01FA06	MYDRIACYL	B	Tropicamide - 1%	1%	Drops solution	430,030 L.L
S01FA06	TROPICIL TOP	G	Tropicamide - 10mg/ml	10mg/ml	Drops solution	200,233 L.L
S01FA04	CICLOPLEGICEDOL	G	Cyclopentolate HCl - 10mg/ml	10mg/ml	Drops solution	459,594 L.L
S01EE06	VYZULTA	B	Latanoprostene bunod - 0.024%	0.024%	Solution	1,948,572 L.L
S01EE05	TAFLUPRO	G	Tafluprost - 0.0015%	0.0015%	Solution	1,912,288 L.L
S01EE04	TRAVATAN	B	Travoprost - 40mcg/ml	0.004%	Drops solution	806,306 L.L
S01EE04	TRAVONORM	G	Travoprost - 0.004%	0.004%	Drops	564,414 L.L
S01EE04	TRAVOPROST BIOGARAN	G	Travoprost - 40mcg/ml	40mcg/ml	Drops solution	564,414 L.L
S01EE03	LUMIGAN	B	Bimatoprost - 0.1mg/ml	0.1mg/ml	Drops solution	740,457 L.L
S01EE03	LUMIGAN	B	Bimatoprost - 0.1mg/ml	0.1mg/ml	Drops solution	740,457 L.L
S01EE01	XALATAN	B	Latanoprost - 50mcg/ml	50mcg/ml	Drops solution	704,173 L.L
S01EE01	API-LOPROST	G	Latanoprost - 0.005%	0.005%	Drops	447,500 L.L
S01EE01	MONOPROST	G	Latanoprost - 50mcg/ml	50mcg/ml	Drops solution	1,187,957 L.L
S01ED51	DORZOLAMIDE/TIMOLOL BGR	G	Timolol maleate - 5mg/ml, Dorzolamide HCl - 20mg/ml		Drops solution	689,391 L.L
S01ED51	DORZOPTIC PLUS	G	Timolol - 0.5%, Dorzolamide HCl - 2%		Drops solution	548,288 L.L
S01ED51	EPISOPT	G	Timolol - 5mg, Dorzolamide HCl - 20mg		Drops	575,165 L.L
S01ED51	TWINZOL	G	Dorzolamide HCl - 2%, Timolol - 0.5%		Drops solution	632,950 L.L