Meningitis

Generalities
Agent	There are several agents causing meningitis. 1) Main Bacteria: - Neisseria meningitidis (meningococcus): Gram negative diplococci. Main invasive serotypes are A, B, C, W135, X, and Y. - Haemophilus influenza: Gram negative cocco-bacilli. There are 6 serotypes from (a) to (f). The serotype (b) is responsible of invasive infection. - Streptococcus pneumonia (pneumococcus): Gram positive diplococci. There are more than 90 serotypes. - Leptospira: spirochetes, Leptospira interrogans (26 serogroups) - Listeria monocytogenes: Gram positive, rod-shapped - Other bacterial agents: Staphylococcus, enteric bacteria, group B streptococci, Mycobacterium tuberculosis… 2) Virus: - Mumps - Measles - West Nile virus: a Flavivirus - Enterovirus: including Coxsackieviruses A (2-4, 7, 9-10), Coxsackieviruses B (1-6), Echoviruses (2, 5-7, 9-11, 14, 18, 30), Enterovirus 71, Poliovirus (1-3) - Herpes Simplex virus (types 1 and 2): family Herpesviridae - Varicella-Zoster virus: Human (alpha) Herpesvirus 3 (varicella-zoster) from the group Herpesvirus - Adenovirus: Adenovirus, several types (1, 2, 3, 4, 5 and 7), genus Mastadenovirus, family Adenoviridae, - Lymphocytic choriomeningitis virus: an Arenavirus - Sandfly fever viruses: genus Phlebovirus, family Bunyaviridae. They include more than 60 antigenically distinct virus serotypes. Two main groups are identified: a) Sandfly fever group including the Naples serocomplex (Karimabad virus, Arabia virus, Massilia virus, Punique virus, Tehran virus, Toscana virus …) and Sicilian serocomplex; and b) Uukuniemi group -Other virus: arboviruses… 3) Parasites: - Candida albicans, cryptococcus…
Incubation period	varies with the agent
Period of transmissibility	varies with the agent
Reservoir	varies with the agent
Modes of transmission	varies with the agent
Clinical presentation	varies with the agent
Resources
Case definition	- MOPH circular no. 52 (2007): Meningitis - MOPH circular no. 63 (2007): Neisseria meningitidis - MOPH circular no. 54 (2007): Haemophilus influenzae b - MOPH circular no. 36 (2012): West Nile Virus
Forms	- Meningitis reporting form - Meningitis investigation form
Data	- Weekly report

...

All

ATC	Name	B/G	Ingredients	Dosage	Form	Price
B05BA01	AMINOVEN INFANT	B	L-Leucine - 13g/l, L-Isoleucine - 8g/l, L-Lysine Acetate - 12g/l, L-Methionine - 3.12g/l, L-Phenylalanine - 3.75g/l, L-Threonine - 4.40g/l, L-Tryptophan - 2.01g/l, L-Valine - 9g/l, Arginine - 7.5g/l, L-Histidine - 4.76g/l, Glycine - 4.15g/l, L-Taurine - 0.40g/l, L-Serine - 7.67g/l, L-Alanine - 9.3g/l, L-Proline - 9.71g/l, N-Acetyl-L-Tyrosine - 5.176g/l, N-Acetyl-L-Cysteine - 0.70g/l, L-Malic Acid - 2.62g/l	10%	Injectable solution	880,217 L.L
B05BA01	AMINOPLASMAL B. BRAUN	B	Amino acids - 10%	10%	Injectable solution	1,036,103 L.L
L04AB01	ALTEBREL	BioTech	Etanercept - 25mg/0.5ml	25mg/0.5ml	Injectable solution	27,383,989 L.L
L01BC01	ALEXAN	G	Cytarabine - 100mg/5ml	100mg/5ml	Injectable solution	388,370 L.L
L01BC01	ALEXAN	G	Cytarabine - 1,000mg/20ml	1,000mg/20ml	Injectable solution	2,848,946 L.L
L04AB04	ABRILADA	BioTech	Adalimumab - 40mg	40mg	Injectable solution	40,259,574 L.L
L04AB04	ABRILADA	BioTech	Adalimumab - 40mg	40mg	Injectable solution	40,259,574 L.L
L04AB04	ADALIREL	BioTech	Adalimumab - 40mg	40mg	Injectable solution	7,805,376 L.L
L04AC07	ACTEMRA	BioTech	Tocilizumab - 162mg/0.9ml	162mg/0.9ml	Injectable solution	79,959,812 L.L
R03DA05	AMINOPHYLLINE RENAUDIN	G	Aminophylline - 250mg/10ml	2.5%	Injectable solution	739,113 L.L
C01CA24	ADRENALINE 1 MG I.V.	G	Adrenaline - 1mg/ml	1mg/ml	Injectable solution	2,239,738 L.L
C01CA24	ADRENALINE RENAUDIN	G	Epinephrine (tartrate) - 1mg/ml	1mg	Injectable solution	444,812 L.L
C01CA24	ADRENALINE SALF	G	Adrenaline - 1mg/ml	1mg/ml	Injectable solution	220,390 L.L
C01CA24	ADRENALINE AGUETTANT	G	Adrenaline - 0.1mg/ml	0.1mg/ml	Injectable solution	13,990,891 L.L
A04AA05	ALOXI	B	Palonosetron HCl - 0.25mg/5ml	0.25mg/5ml	Injectable solution	3,656,595 L.L
B05AA01	ALBUREL HUMAN ALBUMIN BP	BioHuman	Albumin human - 20%	20%	Injectable solution	L.L
L04AB04	ADALIREL	BioTech	Adalimumab - 40mg	40mg	Injectable solution	L.L
J07BC02	AVAXIM PEDIATRIQUE (vaccin inactivé de l'hépatite A adsorbé)	B	Hepatitis A, inactivated, whole virus - 80 antigen units/0.5ml	80 antigen units/0.5ml	Injectable suspension	1,531,980 L.L
L01BC07	AZACITIDINE ARROW	G	Azacitidine - 25mg/ml	25mg/ml	Injectable suspension	10,967,854 L.L
R03AK13	AEROCORT-A HFA	G	Salbutamol - 100mcg/dose, Beclometasone - 50mcg/dose		Metered dose inhaler	541,569 L.L
D01AE16	AMOROLFINE BGR	G	Amorolfine - 5%	5%	Nail lacquer	753,896 L.L
D07AC14	ADVANTAN	B	Methylprednisolone aceponate - 1mg/g	1mg/g	Ointment	385,683 L.L
S01CA01	API-TOBRASON	G	Dexamethasone - 1mg/g, Tobramycin - 3mg/g		Ointment	243,235 L.L
D06AX09	AVALON AVOBAN	G	Mupirocin - 2% w/w	2%	Ointment	460,938 L.L
M01AE03	ARDBEG 80MG ADULTS	G	Ketoprofen Lysine salt - 80mg	80mg	Powder for solution	634,294 L.L
J01CA04	AMOXIDREX	G	Amoxicillin (trihydrate) - 250mg/5ml	250mg/5ml	Powder for suspension	284,127 L.L
J01CA04	AMOXYCILLIN	G	Amoxicillin (trihydrate) - 250mg/5ml	250mg/5ml	Powder for suspension	166,381 L.L
J01CA04	AMOXYDIL	G	Amoxicillin (trihydrate) - 250mg/5ml	250mg/5ml	Powder for suspension	142,063 L.L
J01CA04	AMOXYDIL	G	Amoxicillin (trihydrate) - 500mg/5ml	500mg/5ml	Powder for suspension	218,854 L.L
J01FA10	ARATRO	G	Azithromycin - 200mg/5ml	200mg/5ml	Powder for suspension	765,990 L.L

...