Meningococcal vaccination for children

Picture of Dr. Lisa Roberts-Mohr
Dr. Lisa Roberts-Mohr

Specialist for pediatrics & adolescent medicine

Meningococcal vaccination: Meningococci are bacteria that colonize the nasopharynx and can cause serious illnesses such as meningitis or blood poisoning. The majority of cases occur in young children in the first year of life, which underlines the importance of vaccination.

Dr. Lisa Roberts-Mohr examines a baby at the Glückskind pediatric center
Contents
The most important facts at a glance
Meningococci are bacteria that are transmitted by droplet infection - for example when coughing or sneezing.
Meningococci can cause life-threatening illnesses such as meningitis or sepsis within a few hours and, in the worst case, lead to death.
The meningococcal B vaccination is particularly recommended for infants from the age of 2 months, children, adolescents and people at risk. This is because they are particularly susceptible to severe cases.
In Austria, Bexsero and Trumenba are mainly used against meningococcal B - depending on age and risk, the appropriate vaccine is selected and the vaccination schedule is individually adapted.
Common side effects include redness at the injection site, fever, headaches and nausea, and even vomiting. They are generally harmless, show the activity of the immune system and subside after a few days.

What is meningococcus?

Meningococcal disease is a Bacterium that colonizes the human nasopharynx and multiplies there. It can trigger serious illnesses and sometimes even lead to death.

Transmission occurs via droplet infection. For example, through coughing, sneezing or sharing glasses. The Incubation period is between one and ten daysbut usually less than four days. There can therefore be several days between transmission of the pathogen and the appearance of the first symptoms.

It is particularly critical that Meningococcal infections progress rapidly can. The state of health can deteriorate drastically within just a few hours.

The pathogen spreads particularly easily when many people come together in a confined space, e.g. in Schools, kindergartens or at events. The disease is most common in young children in the first year of life or in adolescents.

The bacteria can be divided into about 20 groups so-called serogroups. Serogroups A, B, C, W and Y are particularly relevant for disease outbreaks. In Austria, according to Ministry of Social Affairs especially meningococci of the Group B widespread.

Why is it important for children to be vaccinated against meningococcal disease?

Vaccination against meningococcal disease is particularly important for children because it protects against serious, potentially fatal diseases. At the same time, it helps to contain the spread of this infectious disease and thus actively contributes to public health.

The childish Immune system is not yet fully mature. Accordingly, infants and young children are particularly at risk of meningococcal infection and the resulting illnesses.

The mortality rate for blood poisoning caused by meningococci is around 30 percent. And even with successful treatment, the following can occur, among other things permanent damage come:

  • Neurological and developmental disorders

  • Hearing loss

  • Loss of body parts

  • Extensive scarring

  • Chronic pain

Note: Incidentally, meningococcal diseases are notifiable in Austria. Even if there is only a suspicion of infection, it is necessary to be admitted to hospital and isolated for 24 hours.

Which meningococcal vaccines are available?

In Austria, two different vaccines against meningococci are mainly used: Bexsero and Trumenba. Both protect against group B meningococci, but differ in their structure and the way the immune system reacts to them:

  • Bexsero is mainly used for Infants and toddlers recommended.

  • Trumenba, on the other hand, is primarily Teenagers and young adults suitable - for example before a stay abroad or in the case of increased risk.

Depending on the vaccine, the Time of administration and the vaccination schedule. Baxsero is usually administered to infants from the age of three months, whereas Trumenba is administered from the age of 10. The number of doses and the intervals between them also differ.

The vaccine chosen for the basic immunization must also be used for further treatment. The vaccines are therefore not interchangeable.

Below we have listed how, especially in the case of small children, the Austrian vaccination plan should be vaccinated (immunization with Bexsero):

Age at first vaccinationBasic immunizationFurther vaccination against meningococcal disease
Infants, 2-5 months2 doses of 0.5 ml at intervals of 2 monthsOne dose at the age of 12-15 months, at least 6 months after the 2nd dose, but no later than 24 months of age
6-11 months2 doses of 0.5 ml at intervals of 2 monthsOne dose in the 2nd year of life, at least 2 months after the 2nd dose
12-23 months2 doses of 0.5 ml at intervals of 2 monthsOne dose min. 12-23 months after 2nd dose
From 2 years2 doses of 0.5 ml at intervals of 1 month-

Source: Vaccination plan Austria 2024/2025

There is currently no systematic recommendation for booster shots, except in cases of special risk (e.g. immunodeficiencies).

The Trumenba vaccine is approved from the age of 10. Two doses of 0.5 ml are recommended every 6 months.

Recommendations of the Austrian vaccination plan

The Austrian vaccination plan recommends vaccinations against various meningococcal groups. This is to prevent serious illnesses such as meningitis or sepsis. A distinction is made between Meningococcus B, meningococcus C and meningococcus A, C, W and Y differentiated.

Not all vaccinations are part of the free vaccination program, but are strongly recommended. Here are the Overview of the most important recommendations:

  • Group B meningococcus: Recommended as early as possible from the age of 2 months. Revaccination possible up to the age of 25. For people at risk, repeat vaccination every 5 years.

  • Group C meningococcusSingle vaccination recommended as early as possible in the 13th month of life. Booster vaccination up to the age of 10.

  • Group A, C, W and Y meningococciSingle vaccination at the age of 13 to 15 months with a conjugated quadruple vaccine (e.g. Nimenrix®, Menveo®) recommended. Follow-up vaccination up to the age of 10 if the vaccination was missed in infancy. Free of charge for all adolescents aged 10 to 13 as part of the Austrian vaccination program. Quadruple vaccination recommended between the ages of 10 and 13. Can also be used for small children, e.g. before traveling to risk areas.

Important information on side effects and tolerability

Vaccinations against meningococci are generally regarded as Well tolerated. However, as with all vaccinations, there can also be side effects. These include headaches, fever and tiredness.

The symptoms are usually harmless and subside after a few days. A special Treatment is usually not necessary. They show that the immune system is reacting to the vaccine - a sign of the desired immune response.

Important: The absence of side effects does not mean that the vaccination is not effective!

Common side effects after vaccination against meningococcal disease:

  • Redness, swelling or pain at the vaccination site

  • Headaches and aching limbs

  • Elevated temperature or fever

  • Fatigue and tiredness

  • Nausea and vomiting

  • Discomfort

Vaccination procedure against meningococcal disease in our practice

After the medical consultation, a health check and consent, the vaccination against meningococcal disease is usually given by a Injection into the upper arm or thigh. As a rule, this is an active immunization.

Active immunizationKilled or weakened bacteria are administered so that the body produces antibodies and the immune system can fight the bacteria more quickly as soon as it comes into contact with it again.

After the vaccination, the person treated should have about 15 to 30 minutes for observation remain in the practice to observe possible immediate reactions. After the vaccination has been entered in the vaccination record, a Date for the next dose or booster.

Note: In the days that follow, you should keep an eye on any side effects in your children and seek medical advice in the event of severe reactions.

Frequently asked questions and answers

When is a meningococcal vaccination advisable?

Vaccination against meningococcal disease is advisable for Infants, children, adolescents and people at increased riskfor example in the case of immunodeficiency or close contact with sick people. It is also recommended before traveling to risk areas.

A vaccination against meningococcal group B (e.g. with Bexsero) costs around 150 € per partial vaccination.

For adults, the vaccination is recommended for certain risks recommended. For example, before traveling to risk areas, in the case of immunodeficiency, close contact with sick people or for surgery/hospital/laboratory staff. Anyone who is permanently at risk should have a booster every five years.

References

Thank you for your interest!

We will get back to you shortly.

You should also have received a confirmation email. Please check your spam folder as well, if necessary.

Thank you for your interest!

We will reliably call you back within the next 24 hours.

You should also have received a confirmation email. Please check your spam folder if necessary.

Online callback request for nutritional counseling / dietetics

Complete the short steps. Your request for nutritional counseling / dietetics goes directly to our office. We will get back to you quickly.

Online callback request for holistic development

Complete the brief steps. Your request for holistic development goes directly to our office. We will get back to you shortly.

Start

Termin auswählen

Fachärztliche Untersuchungen

Kurse

Online Recall Request for First Visit

Fill in the short steps. The request goes directly to our office, and we will call you back within 24 hours.

Bitte wählt einen Termin aus:

Please select a date:

Bitte wählt einen Termin aus:

Start

Termin auswählen

Fachärztliche Untersuchungen

Kurse