Risk of Meningococcal Infection in College Students

Harrison, Lee H.

doi:10.1001/jama.281.20.1906

Cited by 154Bacterial Infections and VaccinesMicrobial infections and disease researchNeonatal and Maternal Infections

Risk of Meningococcal Infection in College Students

Harrison, Lee H.·1999·JAMA

DOI 10.1001/jama.281.20.1906

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Abstract

CONTEXT: The number of meningococcal outbreaks on college campuses have been increasing in the past few years. However, no published studies have documented the incidence of invasive meningococcal infection in college students or whether the incidence is higher than in the general population of the same age. OBJECTIVE: To compare the incidence of invasive meningococcal infection in Maryland college students with that of the general population of the same age. DESIGN: Retrospective cohort study. SETTING AND PATIENTS: Maryland residents with meningococcal infection from 1992-1997 identified from active, laboratory-based, statewide surveillance for invasive meningococcal disease. MAIN OUTCOME MEASURES: Incidence of invasive meningococcal infection. RESULTS: Of 228 patients with invasive meningococcal infection, 67 were aged 16 to 30 years; 11 and 3 of these attended Maryland 4- and 2-year colleges, respectively. Of these, 12 (86%) had infection caused by Neisseria meningitidis serogroups included in the current meningococcal vaccine. The average annual incidence was 1.74 per 100000 among students in 4-year schools vs 1.44 per 100000 for the general population of the same age (P=.60). Among students in 4-year schools, the incidence was 3.24 per 100000 in on-campus residents vs 0.96 per 100000 in off-campus residents (relative risk, 3.4; 95% confidence interval, 1.0-11.6; P=.05). CONCLUSIONS: The incidence of meningococcal infection in college students is similar to the incidence in the general population of the same age, but college students residing on campus appear to be at higher risk than those residing off campus.

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Authors: Harrison, L. H.
Affiliations: Johns Hopkins University (US)
Corresponding author: Harrison, Lee H.
ORCID: Harrison, Lee H.
Venue: JAMA
Publisher: American Medical Association (AMA)
Published: 1999-05-26
Volume: 281
Issue: 20
Pages: 1906
ISSN: 0002-9955 (ISSN-L)
0098-7484
DOI: 10.1001/jama.281.20.1906
OpenAlex: W1966959397
Cited by: 154
References: 15
Citations by year: 2026: 1 · 2025: 2 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 5 · 2019: 2 · 2018: 6 · 2017: 8 · 2016: 1 · 2015: 4 · 2014: 5 · 2013: 7 · 2012: 4
FWCI: 7.82
Type: journal article
Language: en
Open access: closed
Locations: JAMA (publishedVersion)
PubMed (publishedVersion)
Topics: Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
Life Sciences › Immunology and Microbiology › Microbiology › Microbial infections and disease research
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Neonatal and Maternal Infections
Keywords: invasive meningococcal disease, Neisseria meningitidis, university students, on-campus residence, disease surveillance, Maryland
MeSH terms: Adolescent, Adult, Housing, Humans, Maryland, Meningococcal Infections, Neisseria meningitidis, Population Surveillance, Retrospective Studies, Risk Factors, Students, Universities, Incidence

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Risk of Meningococcal Infection in College Students

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