title: Management of clusters of meningococcal disease. PHIS Meningococcus Working Group and Public Health Medicine Environmental Group.
abstract: Guidance on the management of clustered cases of meningococcal disease has been revised following a review of the clusters that occurred in England and Wales between 1 April 1995 and 31 March 1996. Public health action is indicated for confirmed and probable cases but not in response to possible cases. The importance of microbiological confirmation is re-emphasised. Intervention is recommended for defined target groups when two or more confirmed or probable cases occur in a preschool group or school within a four week period. We present a framework to assist in the management of clusters of invasive serogroup C infections in larger and less defined communities.
authors.affiliation: Public Health Laboratory, Gloucestershire Royal Hospital.
authors.forename: J M
authors.initials: JM
authors.lastname: Stuart
authors.forename: P N
authors.initials: PN
authors.lastname: Monk
authors.forename: D A
authors.initials: DA
authors.lastname: Lewis
authors.forename: C
authors.initials: C
authors.lastname: Constantine
authors.forename: E B
authors.initials: EB
authors.lastname: Kaczmarski
authors.forename: K A
authors.initials: KA
authors.lastname: Cartwright
mesh_terms: D016000:Cluster Analysis; D004196:Disease Outbreaks / Q000517:prevention & control*; D004739:England / Q000453:epidemiology; D017408:Guidelines as Topic; D006801:Humans; D015994:Incidence; D008585:Meningitis, Meningococcal / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D009345:Neisseria meningitidis / Q000302:isolation & purification*; D012307:Risk Factors; D014852:Wales / Q000453:epidemiology