CSF Infxns (Meningitis & Encephalitis) Flashcards
1
Q
Acute Bacterial Meningitis - Strep Pneumo
A
- Pen S: PenG or Amp
- Pen R: Vanc + Ceftriaxone
- Add Dexamethasone
10-14 days
2
Q
Acute Bacterial Meningitis - Group B Strep
A
- Amp +/- Gent
14-21 days
3
Q
Acute Bacterial Meningitis - Staph Aureus
A
- MSSA: Nafcillin
- MRSA: Vanc
14-21 days
4
Q
Acute Bacterial Meningitis - L. Monoyctogenes
A
Amp +/- Gent
21 days
5
Q
Acute Bacterial Meningitis - N Meningitidis
A
PCN or Ceftriaxone
7 days
6
Q
Acute Bacterial Meningitis - H. Influenza
A
- BL(-): Amp
- BL (+): Ceftriaxone
7 days
7
Q
Acute Bacterial Meningitis - G(-)
A
Ceftriaxone or Cefepime 21 days
8
Q
Fungal Meningitis - Induction Phase
A
- Ampho B or Liposomal Ampho B
- PLUS Flucytosine
2 weeks
9
Q
Fungal Meningitis - Consolidation Phase
A
- Fluconazole PO/IV
8 weeks
10
Q
Fungal Meningitis - Maintenance Phase
A
- Fluconazole PO
- HIV (-): 6-12months
- HIV (+): ≥ 12 months AND CD4 >200 AND suppression of viral load on ART
11
Q
Viral Encephalitis - HSV
A
- Acyclovir
14-21 days
12
Q
Viral Encephalitis - VZV
A
- Acyclovir (DOC)
- 10-14 days
13
Q
Viral Encephalitis - CMV
A
- Ganciclovir
- ADD Foscarnet if HIV (+)
14-21 days
