Meningitis
Meningitis
Meningitis is when the membranes that surround the brain and spinal cord (meninges) become infected. It can be caused by bacteria or viruses.
Meningitis is very serious, and can cause death. If you have symptoms of meningitis, get treatment immediately.
Immunisation can protect against some forms of meningitis.
Symptoms of meningitis – babies and young children
The symptoms and signs of meningitis in babies and young children include:
fever
refusing feeds
fretfulness
being difficult to wake
purple–red skin rash or bruising
high moaning cry
pale or blotchy skin.
Symptoms of meningitis – older children and adults
The symptoms and signs of meningitis in adults and older children include:
headache
fever
vomiting
neck stiffness and joint pains
drowsiness and confusion
purple–red skin rash or bruising
discomfort looking at bright lights (photophobia).
Diagnosis of meningitis
A doctor is the only person who can make a diagnosis to determine if meningitis is viral or bacterial. Meningitis is sometimes difficult to diagnose. Your doctor may order several tests or seek specialist advice.
Diagnosis may include:
taking a detailed history of signs and symptoms
clinical examination
blood tests
a lumbar puncture, which may be done in hospital (spinal fluid is removed using a needle and examined for bacteria).
Bacterial meningitis
Meningitis caused by bacteria is called ‘bacterial meningitis’. The organisms (germs) that cause bacterial meningitis may live in the nose and throat. People of any age can carry them without becoming ill, but they can infect others through coughing or sneezing. Meningitis caused by these bacteria is serious and requires very prompt medical attention.
Some common examples of bacterial meningitis are:
haemophilus (Hib) meningitis
– caused by Haemophilus influenzae type b
meningococcal meningitis
– caused by Neisseria meningitidis
pneumococcal meningitis
– caused by Streptococcus pneumoniae.
Meningitis caused by bacteria is serious. Antibiotics are used to treat the infection, but death does occur in a small number of those affected – five per cent of people with Hib meningitis, seven per cent of people with meningococcal meningitis and 20 per cent of people with pneumococcal meningitis.
One in five children who have had bacterial meningitis are left with permanent disabilities, such as cerebral palsy and deafness.
Prevention of bacterial meningitis
Some forms of meningitis can be prevented by immunisation:
Haemophilus influenzae type b
can be prevented with
Hib
immunisation
External Link
, which is available for free (as part of a combination vaccine) through the
National Immunisation Program
Schedule
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. It is routinely offered for babies but needs to be purchased on prescription for some groups at high risk of bacterial disease.
The National Immunisation Program schedule provides a free
meningococcal ACWY
vaccine for:
children at 12 months of age
people under 20 years of age who did not have their meningococcal C vaccine at 12 months of age
secondary school students in Year 10, or age equivalent, through a school-based immunisation program. Young people aged 15 to 19 years who have not already received the vaccine in school will be able to be vaccinated by their immunisation provider.
Meningococcal B
vaccine is not funded on the National Immunisation Program but can be purchased by prescription.
Pneumococcal
can be prevented with two types of pneumococcal vaccine. They are available free on the National Immunisation Schedule to:
all babies
Aboriginal and Torres Strait Islander people who are 50 years of age or over
non-Aboriginal and Torres Strait Islander people who are 65 years of age and over.
Pneumococcal vaccines need to be purchased on prescription for some groups at high risk of bacterial disease.
Meningococcal vaccines are recommended for:
infants
children
adolescents
young adults
people at increased risk of meningococcal disease due to certain medical conditions or immunosuppressive medications
anyone wishing to protect themselves from meningococcal disease.
Treatment for bacterial meningitis
Early and rapid diagnosis is very important in the treatment of bacterial meningitis. Treatment may include:
antibiotics (often given intravenously)
hospital care
anticonvulsant, cortisone and sedative medications, which may be used to treat complications.
Viral meningitis
Meningitis caused by a virus is called ‘viral meningitis’. This type of meningitis is relatively common and can occasionally be serious. It can be caused by a variety of different viruses. It is often a complication of another viral illness.
Some of the viruses that can cause meningitis include:
enteroviruses
coxsackieviruses
mumps virus
adenovirus.
Prevention of viral meningitis
You can prevent the spread of viral meningitis by:
washing your hands thoroughly after using the toilet, changing a nappy or blowing your nose, and before touching food
covering your coughs and sneezes with a tissue, or coughing or sneezing into your sleeve
avoiding close contact with other people, such as kissing
stay home from work, childcare, kinder or school if you are unwell.
Treatment for viral meningitis
Treatment for viral meningitis depends on the severity of the symptoms. Treatment is the same as for any viral infection and may include supportive care such as:
resting
keeping warm and comfortable
drinking plenty of fluids.
Viral meningitis cannot be treated with antibiotics.
Get further medical help if you are still worried
You are the expert in your family’s health. If you think a person has symptoms that suggest meningitis, contact your doctor immediately, call triple zero (000) for an ambulance or go to the nearest hospital emergency department. Early diagnosis and treatment are vital.
Where to get help
In an emergency, call triple zero (000)
Go to the emergency department of your nearest public hospital
Your
GP (doctor)
Nurse-on-Call
Tel.
1300 606 024
– for expert health information and advice (24 hours, 7 days)
Local government immunisation service
Immunisation Unit, Department of Health, Victorian Government Email:
immunisation@health.vic.gov.au
National Immunisation
Hotline
External Link
Tel.
1800 671 811