Bacterial meningitis

Question 1

antibiotic treatment for Neisseria meningitidis

Answer 1

early treatment essential
ceftriaxone, ceftaxime (cephalosporins)
penicillin

Question 2

chemoprohylaxis for Neisseria meningitidis

Answer 2

for clos or kissing ocntacts
rifampicin
ciprofloxacin

Question 3

vaccination for Neisseria meiningitidis

Answer 3

active against groups A, C, W135

none against group B (new vaccine but not evidence of effectiveness)

Question 4

haemophilus influenza treatment

Answer 4

ceftriaxone, cefotaxime
ampicillin
B-lactamase producing strains are common

Question 5

chemoprophylaxis for h. influenzae

Answer 5

rifampicin

Question 6

vaccination for h. influenzae

Answer 6

type B conjugate vaccines dramatic reduction in incidence

Question 7

streptococcus pneumonia treatment

Answer 7

ceftriaxone, cefotaxime
penicillin resistant in some parts of the world
give STEROIDS early

Question 8

chemoprophylaxis in streptococcus pneumoniae

Answer 8

none

Question 9

vaccination in strep. pneumoniae

Answer 9

conjugate vaccine for some serotypes

Question 10

complications of meningitis

Answer 10

death
overwhelming sepsis
increased ICP

Question 11

long term problems of meningitis

Answer 11

deafness
delayed development
seizures
hydrocephalus
stroke

Question 12

treatment for TB meningitis

Answer 12

12 months standard TB treatment

steroids are beneficial