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CDC reports increase in meningococcal disease in HIV-infected people

CDC reports increase in meningococcal disease in HIV-infected people

 



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Important points:

  • Since 2016, the CDC has recommended two doses of the meningococcal vaccine for people with HIV.
  • Despite recommendations, cases of meningococcal disease surged in 2022.

After last year’s massive spike in cases, the CDC called on health care workers to ensure that all people with HIV are fully vaccinated against meningococcal disease.

Since 2016, the CDC has recommended that people living with HIV: receive two doses MenACWY vaccine coverage remains low, Amy Rubis, MPH, a CDC colleague reported on Thursday. MMWR.



IDN0623Rubis_Graphic_01_WEB
Data obtained from Ruby AB et al. MMWR mauve Mortal weekly representative. 2023; doi:10.15585/mmwr.mm7224a4.

Nearly 1 in 10 documented meningococcal diseases in the United States in 2022 will occur in people living with HIV, more than double the rate in the past five years, according to a new report. there is

The findings are based on preliminary data from the national notifiable disease surveillance system and additional information from enhanced meningococcal disease surveillance, in which 29 HIV-infected persons were diagnosed with meningococcal disease last year. A diagnosis of the disease has been shown, representing 9.8% of all cases in the United States.

In the last five years, 5–15 cases have been reported among HIV-infected persons, representing 1.5%–4.3% of all cases.

The number of cases diagnosed in 2022 could rise further, the researchers wrote, when the reports were completed. Almost all cases (28 of 29) occurred among unvaccinated or unknown vaccination histories. One person was vaccinated, but it is not known if they received both doses.

This is the second time in less than a year that the CDC has reminded people with HIV of the importance of vaccinating against meningococcal disease. Last June, officials urged gay and bisexual men in Florida to get vaccinated. large and deadly epidemic sick.

Even without including epidemic-related cases, meningococcal disease among HIV-infected people would still have increased significantly in the last year, write Rubis et al.

Of the 14 cases unrelated to the outbreak, 9 were caused by a single virus strain. Meningococcus It was serotype Y and occurred in three states, the researchers reported, but no association was identified. Eight of those patients were black or African American, and seven were men who had sex with men.

“[G]Given the recent increase in cases of meningococcal infection in this population, healthcare providers should ensure that all HIV-infected persons receive the MenACWY vaccine…and this population as well as other vaccines recommended for ,” the researchers wrote. “Healthcare providers should also maintain a high meningococcal disease suspicion index for her HIV-infected person with symptoms of meningococcal disease.”

Sources

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2/ https://www.healio.com/news/infectious-disease/20230615/cdc-reports-rise-in-meningococcal-disease-among-people-with-hiv

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