Self-management

Prevention

Common bacteria or viruses that can cause meningitis can spread through coughing, sneezing, kissing, or sharing eating utensils, a toothbrush or a cigarette.

These steps can help prevent meningitis:

  • Wash your hands. Careful hand-washing helps prevent germs. Teach children to wash their hands often, especially before eating and after using the toilet, spending time in a crowded public place or petting animals. Show them how to vigorously and thoroughly wash and rinse their hands.
  • Practice good hygiene. Don't share drinks, foods, straws, eating utensils, lip balms or toothbrushes with anyone else. Teach children and teens to avoid sharing these items too.
  • Stay healthy. Maintain your immune system by getting enough rest, exercising regularly, and eating a healthy diet with plenty of fresh fruits, vegetables and whole grains.
  • Cover your mouth. When you need to cough or sneeze, be sure to cover your mouth and nose.
  • If you're pregnant, take care with food. Reduce your risk of listeriosis by cooking meat, including hot dogs and deli meat, to 165 F (74 C). Avoid cheeses made from unpasteurized milk. Choose cheeses that are clearly labeled as being made with pasteurized milk.

Immunizations

Some forms of bacterial meningitis are preventable with the following vaccinations:

  • Haemophilus influenzae type b (Hib) vaccine. Children in the United States routinely receive this vaccine as part of the recommended schedule of vaccines, starting at about 2 months of age. The vaccine is also recommended for some adults, including those who have sickle cell disease or AIDS and those who don't have a spleen.
  • Pneumococcal conjugate vaccine (PCV13). This vaccine also is part of the regular immunization schedule for children younger than 2 years in the United States. Additional doses are recommended for children between the ages of 2 and 5 who are at high risk of pneumococcal disease, including children who have chronic heart or lung disease or cancer.
  • Pneumococcal polysaccharide vaccine (PPSV23). Older children and adults who need protection from pneumococcal bacteria may receive this vaccine. The Centers for Disease Control and Prevention recommends the PPSV vaccine for all adults older than 65, for younger adults and children age 2 and up who have weak immune systems or chronic illnesses such as heart disease, diabetes or sickle cell anemia, and for those who don't have a spleen.
  • Meningococcal conjugate vaccine. The Centers for Disease Control and Prevention recommends that a single dose be given to children ages 11 to 12, with a booster shot given at age 16. If the vaccine is first given between ages 13 and 15, the booster shot is recommended between ages 16 and 18. If the first shot is given at age 16 or older, no booster is necessary.

    This vaccine can also be given to younger children who are at high risk of bacterial meningitis or who have been exposed to someone with the disease. It's approved for use in children as young as 9 months old. It's also used to vaccinate healthy but previously unvaccinated people who have been exposed in outbreaks.

Jan. 12, 2016
References
  1. Meningitis and encephalitis fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/encephalitis_meningitis/detail_encephalitis_meningitis.htm. Accessed Nov. 19, 2015.
  2. Bacterial meningitis. Centers for Disease Control and Prevention. http://www.cdc.gov/meningitis/bacterial.html. Accessed Nov. 19, 2015.
  3. Bartt R. Acute bacterial and viral meningitis. Continuum Lifelong Learning in Neurology. 2012;18:1255.
  4. Viral meningitis. Centers for Disease Control and Prevention. http://www.cdc.gov/meningitis/viral.html. Accessed Nov. 19, 2015.
  5. Fungal meningitis. Centers for Disease Control and Prevention. http://www.cdc.gov/meningitis/fungal.html. Accessed Nov. 19, 2015.
  6. Derber CJ, et al. Head and neck emergencies. Medical Clinics of North America. 2012;96:1107.
  7. Longo DL, et al., eds. Meningitis, encephalitis, brain abscess, and empyema. In: Harrison's Principals of Internal Medicine. 19th ed. New York, N.Y.: McGraw-Hill Education; 2015. http://www.accessmedicine.com. Accessed Nov. 19, 2015.
  8. Acute bacterial meningitis. Merck Manual Professional Version. http://www.merckmanuals.com/professional/neurologic_disorders/meningitis/acute_bacterial_meningitis.html. Accessed Nov. 19, 2015.
  9. Prevention — Listeriosis. Centers for Disease Control and Prevention. http://www.cdc.gov/listeria/prevention.html. Accessed Nov. 19, 2015.
  10. Subacute and chronic meningitis. Merck Manual Professional Version. http://www.merckmanuals.com/professional/neurologic_disorders/meningitis/subacute_and_chronic_meningitis.html. Accessed Nov. 19, 2015.
  11. Van de Beek D, et al. Advances in treatment of bacterial meningitis. The Lancet. 2012;380:1693.
  12. Recommended immunization schedules for persons aged 0 through 18 years — United States, 2012. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-11x17-fold-pr.pdf. Accessed Nov. 19, 2015.
  13. Recommended adult immunization schedule — United States, 2012. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/schedules/downloads/adult/adult-schedule.pdf. Accessed Nov. 19, 2015.
  14. Meningococcal vaccine: Who and when to vaccinate. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/vpd-vac/mening/who-vaccinate-hcp.htm. Accessed Nov. 19, 2015.
  15. Sexton D. Approach to the patient with chronic meningitis. http://www.uptodate.com/home. Accessed Nov. 20, 2015.
  16. Johnson R. Aseptic meningitis in adults. http://www.uptodate.com/home. Accessed Nov. 20, 2015.
  17. Di Pentima C. Viral meningitis: Management, prognosis, and prevention in children. http://www.uptodate.com/home. Accessed Nov. 20, 2015.
  18. Rabinstein AA (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 1, 2015.