Influenza A and meningococcal disease
Identifieur interne : 002023 ( Main/Exploration ); précédent : 002022; suivant : 002024Influenza A and meningococcal disease
Auteurs : K. A. V. Cartwright [Royaume-Uni] ; D. M. Jones [Royaume-Uni] ; E. Kaczmarski [Royaume-Uni] ; A. J. Smith [Royaume-Uni] ; J. M. Stuart [Royaume-Uni] ; S. R. Palmer [Royaume-Uni]Source :
- The Lancet [ 0140-6736 ] ; 1991.
English descriptors
- Teeft :
- Antibody titres, Bacterial infections, Blood samples, December, Edward arnold, Epidemic influenza, Exceptional increase, High level, Higher proportion, Immune response, Immune suppression, Infection, Influenza, Influenza epidemic, Influenza infection, Influenza infections, Influenza virus, Influenza viruses, Medical microbiology, Meningitis, Meningococcal, Meningococcal disease, Meningococcal disease cases, Meningococcal disease rates, Meningococcal infection, Meningococcal meningitis, Meningococcal strains, Middlesex school, More days, Mucosal resistance, Neisseria meningitidis, Odds ratio, Outbreak, Personal communication, Public health authorities, Public health laboratory, Questionnaire controls, Questionnaire study, Recent infection, Recent influenza, Respiratory viruses, Royal college, Serology, Serology control blood samples, Serology controls, University college, Winter months.
Abstract
Abstract: There are several anecdotal accounts of the association between outbreaks of influenza and meningococcal disease. The exceptional increase in the number of cases of meningococcal infection 2 weeks after an influenza A outbreak in England and Wales during November and December, 1989, provided an opportunity to investigate the relation between the two events. Patients with meningococcal disease in December, 1989, were more likely than age-matched controls to show serological evidence of recent influenza A infection (odds ratio 3·9, 95% Cl 1·2-13·9). The most likely explanation for the association is immune suppression induced by influenza A, though a lowering of mucosal resistance to meningococcal invasion may also be a factor. Public health authorities should be aware of the association and should be prepared to alert medical practitioners and the public to the increased risk of meningococcal disease when influenza A outbreaks occur.
Url:
DOI: 10.1016/0140-6736(91)91112-8
Affiliations:
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The exceptional increase in the number of cases of meningococcal infection 2 weeks after an influenza A outbreak in England and Wales during November and December, 1989, provided an opportunity to investigate the relation between the two events. Patients with meningococcal disease in December, 1989, were more likely than age-matched controls to show serological evidence of recent influenza A infection (odds ratio 3·9, 95% Cl 1·2-13·9). The most likely explanation for the association is immune suppression induced by influenza A, though a lowering of mucosal resistance to meningococcal invasion may also be a factor. Public health authorities should be aware of the association and should be prepared to alert medical practitioners and the public to the increased risk of meningococcal disease when influenza A outbreaks occur.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Manchester</li></region><settlement><li>Manchester</li></settlement></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Cartwright, K A V" sort="Cartwright, K A V" uniqKey="Cartwright K" first="K. A. V." last="Cartwright">K. A. V. Cartwright</name></noRegion><name sortKey="Jones, D M" sort="Jones, D M" uniqKey="Jones D" first="D. M." last="Jones">D. M. Jones</name><name sortKey="Kaczmarski, E" sort="Kaczmarski, E" uniqKey="Kaczmarski E" first="E." last="Kaczmarski">E. Kaczmarski</name><name sortKey="Palmer, S R" sort="Palmer, S R" uniqKey="Palmer S" first="S. R." last="Palmer">S. R. Palmer</name><name sortKey="Smith, A J" sort="Smith, A J" uniqKey="Smith A" first="A. J." last="Smith">A. J. Smith</name><name sortKey="Stuart, J M" sort="Stuart, J M" uniqKey="Stuart J" first="J. M." last="Stuart">J. M. Stuart</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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