Meningococcal septicaemia is caused by the
Gram-negative diplococcus, Neisseria meningitides. The bacterium is found
exclusively in humans, existing as a commensal in the nasopharynx and transmitted
by respiratory secretions. Meningoccoal septicaemia is the most severe form of meningococcal infection and is the most common infective cause of death in
children.
Differing hospital settings, patient populations and disease
presentations make generalising mortality rates following meningococcal
septicaemia difficult to calculate. There has however been an overall decline
in the death rate, with earlier studies reporting a rate of 18-53%, while more
recent estimates are as low as 5%. Improved treatment protocols and
centralisation of paediatric intensive care is thought to have had a major
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