Infection Control For Meningitis

Question 1

Meningococcal meningitis

Treatment

Answer 1

Penicillin

Question 2

Meningococcal meningitis

Chemoprophylaxis

Answer 2

1. Rifampicin- 2 days
2. Ciprofloxacin- 1 dose
   CONTRAINDICATED in pregnancy and children <12 years
3. Ceftriaxone- During pregnancy

Question 3

Meningococcal meningitis

Vaccination

Answer 3

Polysaccharide vaccine against serogroups A,C,W and Y

A,C—>polysaccharide vaccine

Conjugated group C vaccine—> children less than 2

No vaccine against group B

Question 4

Meningococcal meningitis

Infection control

Answer 4

1. Isolation room with -ve pressure
2. Respiratory precaution
3. Contact tracing

Question 5

Haemophilus meningitis

Treatment

Answer 5

Cefotaxime or ceftriaxone

+dexamethasome

Question 6

Haemophilus meningitis

Chemoprophylaxis

Answer 6

Rifampicin for all household siblings <5yrs

+

Hib vaccine:

• for unvaccinated—> single dose
• <13 months—> 3 doses

Question 7

Haemophilus meningitis

Answer 7

Haemophilus influenza type b (Hib) vaccine

Question 8

Haemophilus meningitis

Infection control

Answer 8

N/A

Question 9

Streptococcus pneumonia

Treatment

Answer 9

A. Penicillin sensitive strains (PSSP)

Penicillin, ceftriaxone, cefotaxime

B. Penicillin Resistant Strains (PRSP)

Cefotaxime + vancomycin

Question 10

Streptococcus pneumonia

Chemoprophylaxis

Answer 10

N/A

Question 11

Streptococcus pneumonia

Vaccination

Answer 11

Polysaccharide vaccine- 23 valent

Conjugated vaccines- 7 or 9 or 11 valent

Question 12

Streptococcus pneumonia

Infection control

Answer 12

N/A