Meningitis Flashcards
Most common meningitis pathogens in older people
Think Listeria! Add amoxicillin
Most common meningitis pathogens in children
Haemophilus influenza
Neisseria Meningitides
Streptococcus Pneumonia
Most common meningitis pathogens in NEONATES
Group B strep most common
Listeria Monocytogenes
E. Coli
Most common meningitis pathogens (all)
Strep Pneumoniae
Neisseria Meningitides
(think Listeria if infant, over 60 or immunocompromised)
CSF in bacterial meningitis
-Neutrophils more than lymphocytes
-Less than 1/2 blood glucose
-Appearance is purulent
CSF in viral meningitis
-Lymphocytes raised, neutrophils normal
-clear CSF
-More than 1/2 blood glucose
Most common CSF pathogen in immunocompromised
Listeria Monocytogenes
Antibiotics for Meningitis (Tayside)
1st line IV Ceftriaxone (+/- Amoxicillin)
Suspected SAH.. CT within how long?
within 6 hours
if CT is done after this, do an LP 12 hours after symptoms
Most common pathogens for viral meningitis in adults
enteroviruses like cocksackie