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Neisseria meningitidis Vaccines

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New Bacterial Vaccines

Part of the book series: Medical Intelligence Unit ((MIUN))

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Summary

Meningococcal disease, both endemic and epidemic, remains a major cause of meningitis in many countries. Protective immunity is mediated primarily by bactericidal antibodies against the capsular polysaccharides as well as against outer membrane protein and lipopolysaccharide components. This article focuses on the new conjugate vaccines for serogroups A, C, Y and W135 as well as the latest approaches to development of group B vaccines. Group C meningococcal polysaccharide-protein conjugate vaccines have been used in the United Kingdom since November 1999 and are over 90% effective in both infants and children. Outer membrane protein vaccines have shown good efficacy against group B in individuals over 4 years of age, but most group B disease occurs in younger children. Newer group B vaccines are under development using new immunization regimens, individual outer membrane proteins and lipopolysaccharide conjugates. The problem of a universally effective group B vaccine may require new avenues of research.

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Frasch, C.E., Bash, M.C. (2003). Neisseria meningitidis Vaccines. In: New Bacterial Vaccines. Medical Intelligence Unit. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0053-7_15

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