The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Risk of Meningococcal Infection in College Students
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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“We know that living in close quarters predisposes one to infection”
From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [20]
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Cites
Bacterial Meningitis in the United States in 1995
Schuchat, A., Robinson, K., Wenger, J. D., Harrison, L. H., Farley, M. M., Reingold, A. L., Lefkowitz, L. B., & Perkins, B. A. (1997) · New England Journal of Medicine · doi:10.1056/nejm199710023371404 · Cited by 1,246
Self-citationSerogroup C meningococcal outbreaks in the United States. An emerging threat
Jackson, L. A. (1995) · JAMA · doi:10.1001/jama.273.5.383 · Cited by 258
Harrison, L. H., Elliott, J. A., Dwyer, D. M., Libonati, J. P., Ferrieri, P., Billmann, L., Schuchat, A., & Program, M. E. I. (1998) · The Journal of Infectious Diseases · doi:10.1086/515260 · Cited by 210
Self-citationTobacco smoke as a risk factor for meningococcal disease
Fischer, M., Hedberg, K., CARDOSI, P., Plikaytis, B. D., Hoesly, F. C., Steingart, K. R., BELL, T. A., Fleming, D., Wenger, J. D., & Perkins, B. A. (1997) · The Pediatric Infectious Disease Journal · doi:10.1097/00006454-199710000-00015 · Cited by 210
Meningococcal Meningitis in Sub-Saharan Africa: A Model for the Epidemic Process
Moore, P. S. (1992) · Clinical Infectious Diseases · doi:10.1093/clinids/14.2.515 · Cited by 205
The carrier state: Neisseria meningitidis
Broome, C. V. (1986) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/18.supplement_a.25 · Cited by 150
Laboratory-based surveillance for meningococcal disease in selected areas, United States, 1989-1991.
Jackson, L. A., & Wenger, J. D. (1993) · PubMed · Cited by 129
Efficacy of Meningococcal Vaccine and Barriers to Vaccination
Rosenstein, N. E. (1998) · JAMA · doi:10.1001/jama.279.6.435 · Cited by 113
Outberak of Serogroup C Meningococcal Disease Associated with Campus Bar Patronage
Imrey, P. B., Jackson, L. A., Ludwinski, P. H., England, A. C., Fella, G. A., Fox, B. C., lsdale, L. B., Reeves, M. W., & Wenger, J. D. (1996) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a008792 · Cited by 106
Imrey, P. B., Jackson, L. A., Ludwinski, P. H., England, A. C., Fella, G. A., Fox, B. C., Isdale, L. B., Reeves, M. W., & Wenger, J. D. (1995) · Journal of Clinical Microbiology · doi:10.1128/jcm.33.12.3133-3137.1995 · Cited by 86
Cited by
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Global epidemiology of meningococcal disease
Harrison, L. H., Trotter, C. L., & Ramsay, M. E. (2009) · Vaccine · doi:10.1016/j.vaccine.2009.04.063 · Cited by 753
Self-citationClinical recognition of meningococcal disease in children and adolescents
Thompson, M. J., Ninis, N., Perera, R., Mayon-White, R. T., Phillips, C., Bailey, L., Harnden, A., Mant, D., & Levin, M. (2006) · The Lancet · doi:10.1016/s0140-6736(06)67932-4 · Cited by 574
Neisseria meningitidis: Biology, Microbiology, and Epidemiology
Rouphael, N., & Stephens, D. S. (2011) · Methods in molecular biology · doi:10.1007/978-1-61779-346-2_1 · Cited by 435
Global Burden of Skin Disease: Inequities and Innovations
Seth, D., Cheldize, K., Brown, D., & Freeman, E. E. (2017) · Current Dermatology Reports · doi:10.1007/s13671-017-0192-7 · Cited by 366
Antidepressant-Induced Sexual Dysfunction
Gregorian, R. S., Golden, K. A., Bahce, A., Goodman, C., Kwong, W. J., & Khan, Z. M. (2002) · Annals of Pharmacotherapy · doi:10.1345/aph.1a195 · Cited by 320
Metadata
- 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
- 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 › Pediatrics, Perinatology and Child 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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