BACTERIAL MENINGITIS
(Non-meningococcal, Non-Haemophilus influenzae type B)

Wisconsin Division of Public Health Disease Surveillance Manual (EpiNet, February 2005)

I. IDENTIFICATION

A. CLINICAL DESCRIPTION: A group of diseases characterized by infection of the meninges caused by a bacteria other than Neisseria meningitidis,Haemophilus influenzae type b, Groups A or B Streptococcus, Streptococcus pneumoniae or Listeria monocytogenes. Symptoms include fever, headache, stiff neck, or vomiting.

B. REPORTING CRITERIA: Clinical diagnosis or laboratory confirmation.

C. LABORATORY CRITERIA FOR CONFIRMATION:

• Isolation and identification of a bacterial pathogen from the CSF.

D. WISCONSIN CASE DEFINITION: A clinically compatible illness that is laboratory confirmed or has a positive blood culture.

II. ACTIONS REQUIRED / PREVENTION MEASURES

A. WISCONSIN DISEASE SURVEILLANCE CATEGORY II: Report to the patient's local health officer on an Acute and Communicable Disease Case Report (DPH 4151) or other means within 72 hours of the identification of a case or suspected case. No public health intervention expected although the follow-up form is required. Prophylaxis of contacts is not recommended.

B. EPIDEMIOLOGY REPORTS REQUIRED:

1. Acute and Communicable Diseases Case Report (DPH 4151).

III. CONTACTS FOR CONSULTATION

A. BCDP / COMMUNICABLE DISEASE EPIDEMIOLOGY SECTION: (608) 267-7321.

B. REGIONAL STAFF: See Epinet Introduction: “REGIONAL OFFICE CONTACTS”.

C. WSLH / BACTERIOLOGY: (608) 263-3421.

IV. RELATED REFERENCES

1. Heymann DL, ed. BACTERIAL MENINGITIS. Control of Communicable Diseases Manual. 18 th ed. Washington , DC : American Public Health Association, 2004:359.

V. DISEASE TRENDS

Table 1. Reported Cases of Acute Bacterial Meningitis by Year of Onset Wisconsin , 1999-2003
Associated Organism	1999	2000	2001	2002	2003	Total
Streptococcus pneumonia	31	36	22	20	16	125
Streptococcus Group A	3	3	0	1	1	8
Streptococcus Group B	5	5	5	4	1	20
Listeria monocytogenes	5	1	1	1	1	9
Other	18	18	25	20	23	104
Not specified	11	9	2	7	10	39
Total	73	72	55	53	52	305

Vaccine History and Serogroup Worksheet (Submit with 4151)