<i>Neisseria meningitidis</i> and <i>Streptococcus pneumoniae</i> as leading causes of pediatric bacterial meningitis in nine Mexican hospitals following 3 years of active surveillance

Abstract

Meningococcal meningitis is endemic in Tijuana, Mexico, and vaccination should be seriously considered in that region. Continuous universal vaccination with the 13-valent pneumococcal conjugate vaccine should be nationally performed, and polymerase chain reaction should be included for bacterial detection in all cultures - negative but presumably bacterial meningitis cases.