Frequency of Meningitis in Cases with a History of Getting the MMR Vaccine within the Past 45 Days

Sohaib Riaz, I. Chaudhary, Abdullah Umer Rehan, Qurat-ul-ain Khalid, Ismat Tahira, Aneeqa Adnan, Muhammad Ahsan
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Abstract

To estimate the frequency of meningitis in cases having history of receiving the MMR vaccine in last 45 days. Methodology: This observational research evaluated 100 cases of meningitis in the final 45 days after MMR vaccination. All children admitted to Madinah Teaching Hospital's Paediatric unit were included. Duration of study was 12 months from Feb 2021 to March 2022. All 9-43-month-old male/female patients of any socioeconomic level and location were examined for meningitis. Meningitis was classified as a CSF WBC pleocytosis of 5/mm3. Clinical data was compiled using parents', patients', and hospital records' information. In addition to the normal CSF investigation, all frozen CSF samples were tested for enteroviruses (EV) and mumps using PCR (culture, cell count, sugar, and protein). Results: In our study, 57% of the cases were less than 24 months old, 43% were between 25 and 43 months old, 48% were male, and 52% were female. Meningitis incidence in patients with recent MMR vaccination was 5%. Conclusion: We observed 5% of meningitis cases (9-43 months) occur within 45 days after the initial MMR immunization. Keywords: Children, MMR Vaccine, meningitis
在过去45天内接种过MMR疫苗的病例发生脑膜炎的频率
估计在过去45天内接种过MMR疫苗的病例发生脑膜炎的频率。方法:本观察性研究评估了100例MMR疫苗接种后最后45天的脑膜炎病例。所有在麦地那教学医院儿科住院的儿童都包括在内。学习时间为12个月,从2021年2月到2022年3月。所有9-43月龄男性/女性患者,不论其社会经济水平和地点,均接受脑膜炎检查。脑膜炎被归类为脑脊液白细胞增多5/mm3。临床数据是根据家长、患者和医院的记录信息汇编而成的。除了正常脑脊液调查外,所有冷冻脑脊液样本均采用PCR(培养物、细胞计数、糖和蛋白质)检测肠病毒(EV)和腮腺炎。结果:本组病例中,小于24月龄的占57%,25 ~ 43月龄的占43%,男性占48%,女性占52%。最近接种MMR疫苗的患者脑膜炎发病率为5%。结论:我们观察到5%的脑膜炎病例(9-43个月)发生在首次接种MMR疫苗后45天内。关键词:儿童,MMR疫苗,脑膜炎
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