{
  "url": "https://openlegislation.uk/eu-decision-2018-945/annex-II/division-4/division-4.1/division-4.1.3/division-2",
  "json_url": "https://openlegislation.uk/eu-decision-2018-945/annex-II/division-4/division-4.1/division-4.1.3/division-2.json",
  "legislation": "eudn/2018/945",
  "legislation_title": "Commission Implementing Decision (EU) 2018/945 of 22 June 2018 on the communicable diseases and related special health issues to be covered by epidemiological surveillance as well as relevant case definitions (Text with EEA relevance)",
  "legislation_url": "https://openlegislation.uk/eu-decision-2018-945",
  "path": "annex/II/division/4/division/4.1/division/4.1.3/division/2",
  "kind": "division",
  "number": null,
  "heading": "CNS-MEN: Meningitis or ventriculitis",
  "text": "Meningitis or ventriculitis must meet at least one of the following criteria:\nPatient has organisms cultured from cerebrospinal fluid (CSF)\nPatient has at least 1 of the following signs or symptoms with no other recognized cause: fever (> 38 °C), headache, stiff neck, meningeal signs, cranial nerve signs, or irritability\nAND at least one of the following:\nincreased white cells, elevated protein, and/or decreased glucose in CSF\norganisms seen on Gram's stain of CSF\norganisms cultured from blood\npositive antigen test of CSF, blood, or urine\ndiagnostic single antibody titre (IgM) or 4-fold increase in paired sera (IgG) for pathogen\nAND if diagnosis is made antemortem, physician institutes appropriate antimicrobial therapy.",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eudn/2018/945/annex/II/division/4/division/4.1/division/4.1.3/division/2",
    "retrieved_at": "2026-11-01T15:13:03.598650+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}