INFECTION Flashcards
What are the most common causative organisms for meningitis in 0-3month olds?
- Group B Strep
- E.Coli
- Listeria Monocytogenes
Give IV cefotaxime + amoxicillin
What are the most common causative organisms for meningitis in 3month-6 year olds?
- Neisseria meningitidis
- Strep Pneumoniae
- H. Influenzae
Give IV cefotaxime
What are the most common causative organisms for meningitis in 6-60 year olds?
- Neisseria menigitidis
- Strep Pneumoniae
Give IV cefotaxime
What are the most common causative organisms for meningitis >60 year olds?
- Strep Pneumoniae
- Neisseria meningitidis
- Listeria Monocytogenes
Give IV cefotaxime + amoxicillin
What are the most common causative organisms for meningitis in immunosuppressed individuals?
Listeria Monocytogenes
What is the recommended antibiotic for Meningococcal meningitis?
IV benzylpenicillin or cefotaxime
What is the recommended antibiotic for Pneumococcal meningitis?
IV Cefotaxime
What is the recommended antibiotic for H Influenzae meningitis?
IV Cefotaxime
What is the recommended antibiotic for Listeria meningitis?
IV Amoxicillin and gentamicin
What are the investigations in meningitis?
- FBC
- CRP
- Coagulation
- Blood culture for bacteria
- Whole blood PCR for viurs
- Blood gasses
- Blood glucose
- Lumbar puncture if no ICP
What is the neurological sequalae of meningitis?
- Deafness
- Epilepsy
- Paralysis
- Herniation
Parvovirus B19
Generalised rmacular ash
Lacy
Joint pain
Slapped-cheek in children