Bacterial Meningitis

Question 1

Most common pathogens of bacterial meningitis in 1-23 mo

Answer 1

s. pneumoniae, Neisseria Meningitidis

Question 2

risk factors for bacterial meningitis in neonates

Answer 2

preterm birth, low birth weight (<2500g), maternal endometriosis or GBS colonization, traumatic delivery

Question 3

risk factors for bacterial meningitis in children

Answer 3

asplenia, immunodeficient, sickle cell anemia, CSF leak, cochlear implant

Question 4

s/s of bacterial meningitis in neonates

Answer 4

poor feeding, vomiting, fever, seizures, irritability, lethargy, bulging fontanelle

Question 5

s/s of bacterial meningitis in children

Answer 5

fever, HA, lethargy, vomiting, myalgia, photophobia, stiff neck, seizure, confusion

Question 6

empiric treatment of bacterial meningitis in <1mo

Answer 6

ampicillin + AG or ampicillin + cefotaxime

Question 7

empiric treatment of bacterial meningitis in 1mo-50yo

Answer 7

Vanco + cefotaxime or ceftriaxone

Question 8

treatment duration of BM for Neisseria Meningitidis

Answer 8

7 days

Question 9

treatment duration of BM for H. influenzae

Answer 9

7 days

Question 10

treatment duration of BM for S. pneomoniae

Answer 10

10-14 days

Question 11

treatment duration of BM for GBS

Answer 11

14-21 days

Question 12

treatment duration of BM for aerobic gram neg bacilli

Answer 12

21 days

Question 13

treatment duration of BM for listeria monocytogenes

Answer 13

> /21 days