CNS Antibiotic Man Flashcards
What medication would you give for community acquired bacterial meningitis?
Ceftriaxone IV
Dexamethasone IV for 4 days ONLY
How long do you give treatment for bacterial meningitis is no organism is identified?
10 days.
How long do you give treatment for bacterial meningitis if meningococcus is identified?
5 days and stop dexamethasone.
How long do you give treatment for bacterial meningitis if penumococcus identified?
10 days.
What medication would you give for penicillin/cephalosporin resistant pneumococcus and for how long
Ceftriaxone and vancomycin 14 days
Dexamethasone 4 days
When would you need to cover listeria with bacterial meningitis?
If patient is 60 or over OR immunocompromised
What medication is given to provide listeria cover?
Amoxicillin IV
What is the treatment for confirmed listeria bacterial meningitis and for how long?
Amoxicillin 21 days
Stop dexamethasone
What is the treatment for confirmed haemophilus influenzae meningitis and for how long?
Ceftriaxone 10 days
Stop dexamethasone
What organism most commonly causes viral encephalitis?
Herpes simplex
What is the management of viral encephalitis?
Aciclovir IV for 14 days then repeat LP
What are the most common causative organisms of viral meningitis?
Enteroviruses
HSV
Varicella zoster
Paramyxovirus (mumps)
What is the management of viral meningitis?
Supportive management
No antibacterials, antivirals or steroids.
What are the most common causes of bacterial meningitis?
Pneumococcus Meningococcus Haemophilus influenzae Occ other gram negatives Listeria (if over 60 or immunosuppressed)
