ICD-10 : G01*,A39.0
㹡ѧä (Case Definition for Surveillance)
ࡳҧԹԡ (Clinical Criteria)
ҨջǴ ¹ Ѻҧ˹ҡ ѧ仹
ҡФͧͧͧ
Ҩҡêѡ ǨҧдѺ֡ҨԨ֧
ʹ˹ѧԴعç (purpura fulminant)
ࡳҧͧԺѵԡ (Laboratory Criteria)
õǨҧѹѧ
Ǩѹѧ
Ǩ WBC > 100 /ź.. ֧¾ѹ
CSF sugar ¡ 50 ͧ blood sugar
õչ > 50 mg%
ҡͷҡ ʹ, ѹѧ gram negative diplococci
Neisseria meningitidis ҡ ʹ, ѹѧ Bacteria Blood agar Chocolate agar Ź ѹ, oxidase positive, gram negative diplococci , ͺӵ glucose, lactose , maltose sucrose glucose maltose ǡ
Ǩͧ, ѹѧ Ը Latex agglutination źǡ Ѻ meningococcemia
Ǩ CSF Ը PCR źǡ
(Case Classification)
·ʧ(Suspected case) ¶֧ ҡõࡳҧԹԡ
·Ң(Probable case) ¶֧ ҡõࡳҧԹԡ еࡳҧͧԺѵԡ÷ ҨբŷҧкҴԷ§Ѻ·ѹ
·ѹ (Confirmed case) ¶֧ ҡõࡳҧԹԡ ռŵࡳҧͧԺѵԡè
§ҹµкѧä-ç.506(Reporting Criteria)
§ҹ·Ң ǹ·ʧ§ҹ Unspecified meningitis
ͺǹä(Epidemiological Investigation)
ͺǹ (Individual Investigation) ͧͺǹäѹ ѹԹԨ ͡ä serogroup ä зͺǵһԪǹ ҼԴ (closed contact) · throat swab һͧѹõԴ
ͺǹкҴ (Outbreak Investigation) 㹡óշԴä繡 պӡͺǹкҴѹ ͡ä ˵ءкҴ㹤駹 ͡ҧἹ㹡äǺ㹤駹 лͧѹкҴ㹤駵ҧ١ͧ
˵
closed contact ¶֧ µçѺ١ ¢ͧ ¡ ¹
пѡ: 2-10 ѹ ( 3-4 ѹ)
ҡ ˹ѧäԴ