Increased Risk of Late-onset Streptococcus pneumoniae Meningitis in Adults With Prior Head or Spine Surgeries

Clin Infect Dis. 2019 May 30;68(12):2120-2122. doi: 10.1093/cid/ciy974.

Abstract

In a case-control study within the Kaiser Permanente Northern California adult population, prior head or spine surgery was associated with increased Streptococcus pneumoniae meningitis outside of the postoperative period (no prior head or spine surgery; odds ratio, 6.0 [95% confidence interval, 1.9-18.6]). Among the cases, only 33.3% had received any prior pneumococcal vaccinations.

Keywords: Streptococcus pneumoniae; meningitis; neurosurgery; spine surgery; vaccines.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • California / epidemiology
  • Comorbidity
  • Female
  • Head / surgery
  • Humans
  • Immunization
  • Male
  • Meningitis, Pneumococcal / epidemiology*
  • Meningitis, Pneumococcal / etiology*
  • Meningitis, Pneumococcal / prevention & control
  • Middle Aged
  • Odds Ratio
  • Pneumococcal Vaccines / administration & dosage
  • Pneumococcal Vaccines / immunology
  • Postoperative Complications / epidemiology*
  • Postoperative Complications / prevention & control
  • Public Health Surveillance
  • Spine / surgery
  • Streptococcus pneumoniae*
  • Young Adult

Substances

  • Pneumococcal Vaccines