Bacterial Meningitis Flashcards
1
Q
Neonates (<1 month)
A
Cover E.coli, S. agalactiae, Listeria
Ceftriaxone + Ampicillin
2
Q
Infants and children (1-23 months)
A
Cover E.coli, Strep pneumo, neisseria meningitidis, S.agalactiae
Ceftriaxone + vancomycin
3
Q
CHildren and adults (2-50 y/o)
A
Cover Strep pneumo, neisseria meningitidis
Ceftriaxone + vancomycin
4
Q
Adults (>50 y/o)
A
Cover strep pneumo, neisseria meningitis, listeria, e.coli
Ceftriaxone + ampicillin + vancomycin
5
Q
Duration for culture-directed
A
Neisseria: 5-7days
Strep pneumo: 10-14days
S. agalactiae: 14-21 days
Listeria: ≥21 days
6
Q
Adjunctive corticosteroid
A
Dexamethasone 10mg 4 times a day for 4 days
Stop if not meningitis or not caused by strep pneumo / h influenzae