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Felicia Chow, MD: Hello, I'm Dr Felicia Chow. Welcome to Medscape's InDiscussion series on meningitis. Today, we'll discuss what's new in the management of bacterial meningitis with Dr Rodrigo Hasbun. Dr Hasbun is a professor in the division of Infectious Diseases at McGovern Medical School at UTHealth. Welcome to InDiscussion, Rodrigo, it's fantastic to have you on today. I don't think you and I have met before, but I've certainly seen your work and read a lot of your studies, and it's really wonderful to have you on today talking about bacterial meningitis. I was wondering if you could start by talking about how the epidemiology of community-acquired bacterial meningitis has changed in the United States over the past few decades. Are pneumococcal and meningococcal meningitis still the most common causes of community-acquired bacterial meningitis among adults?
Rodrigo Hasbun, MD, MPH: In the last four decades, there's been a shift in the epidemiology of community-acquired bacterial meningitis in the United States. The introduction of the Haemophilus influenzae conjugate vaccinein 1985, and then the