Bacterial Meningitis INF Flashcards
1
Q
bacterial meningitis
A
infection causing meningitis
2
Q
what organism causes this
A
neonatal - 3 months - GROUP B STREP
other ages, most common - neisseria meningitis, haemophilus influenzae, strep pneumonae
3
Q
signs
A
headache neck stiffness fever lethargy meningococcal septicaemia non-blanching purpuric rash
4
Q
investigations
A
blood cultures
CSF culture
5
Q
management
A
early treatment of IV/IM benzylpenicillin
broad-spectrum antibiotics:
<3 months - amoxicillin + cefotaxime
>3 months - cefotaxime
ABCDE
6
Q
when is a LP contraindicated
A
signs of raised ICP
meningococcal septicaemia
7
Q
what should be given to exposed people
A
ciprofloxacin
rifampicin
8
Q
can you use steroids in patients younger than 3 months
A
no
