About: A Comprehensive Review of Meningococcal Disease Burden in India

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	A Comprehensive Review of Meningococcal Disease Burden in India
Creator	Kumar, Ashok Sathyanarayanan, Kolhapure Shafi, Abitbol Subramanian, Dutta Veronique, Swaminathan
source	PMC
abstract	INTRODUCTION: Meningococcal disease caused by Neisseria meningitidis has a high case fatality rate. Of 12 distinct serogroups, A, B, C, W-135 (W) and Y cause the majority of infections. The meningococcal disease burden and epidemiology in India are not reliably known. Hence, we performed a narrative review with a systematically conducted search to summarize information on meningococcal disease burden and epidemiology and vaccination recommendations for meningococcal disease in India. METHODS: A search of Medline and Embase databases was undertaken to identify relevant publications published in the last 25 years. RESULTS: Results from 32 original publications, 11 of which were case reports, suggest a significant burden of meningococcal disease and related complications. Meningococcal disease is increasingly reported among adolescents and adults, and large outbreaks have been reported in this population. Meningococcal disease in India is caused almost exclusively by serogroup A; serogroups B, C, W and Y have also been documented. Meningococcal disease burden data remain unreliable because of limited disease surveillance, insufficient laboratory capacity, misdiagnosis and prevalence of extensive antibiotic use in India. Lack of access to healthcare also increases under-reporting, thus bringing the reliability of the data into question. Conjugate meningococcal vaccines are being used for disease prevention by national governments and immunization programs globally. In India, meningococcal vaccination is recommended only for certain high-risk groups, during outbreaks and for international travelers such as Hajj pilgrims and students pursuing studies abroad. CONCLUSION: Meningococcal disease is prevalent in India but remains grossly underestimated and under-reported. Available literature largely presents outbreak data related to serogroup A disease; however, non-A serogroup disease cases have been reported. Reliable epidemiologic data are urgently needed to inform the true burden of endemic disease. Further research into the significance of meningococcal disease burden can be used to improve public health policy in India. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s40121-020-00323-4) contains supplementary material, which is available to authorized users.
has issue date	2020-07-23(xsd:dateTime)
bibo:doi	10.1007/s40121-020-00323-4
has license	cc-by-nc
sha1sum (hex)	b315a9087045f25103fcb5f2fc0900c3b0fe3ce2
schema:url	https://doi.org/10.1007/s40121-020-00323-4
resource representing a document's title	A Comprehensive Review of Meningococcal Disease Burden in India
has PubMed Central identifier	PMC7376278
schema:publication	Infect Dis Ther
resource representing a document's body	covid:b315a9087045f25103fcb5f2fc0900c3b0fe3ce2#body_text
is schema:about of	named entity 'Review' named entity 'DISEASE CAUSED BY NEISSERIA MENINGITIDIS' named entity 'infections' named entity 'Meningococcal disease' named entity 'conducted' »more»

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