Meningitis Management Flashcards
What is the empirical management for meningitis in non-immunocompromised adults <60?
Ceftriaxone IV
Dexamethasone IV
What is the empirical management for meningitis in adults >60 or immunocompromised and what organism is this trying to cover?
Ceftriaxone IV
Dexamethasone IV
Amoxicillin IV
Amoxicillin added to cover listeria.
What is the management for confirmed meningococcal meningitis?
5 days ceftriaxone (extend course if not recovered)
Stop dexamethasone
What is the management for confirmed pneumococcal meningitis?
10 days ceftriaxone (extend course if not responding)
4 days dexamethasone
What is the management for confirmed penicillin/cephalosporin resistant pneumococcal meningitis?
14 days ceftriaxone and vancomycin
4 days dexamethasone
What is the management for confirmed listeria meningitis?
21 days amoxicillin
Stop dexamethasone
What is the management for confirmed haemophilus influenzae meningitis?
10 days ceftriaxone
Stop dexamethasone
Empirical management for meningitis <3 months?
Cefotaxime and amoxicillin Maybe dexamethasone (unclear)
Empirical management for meningitis >3 months?
1st dose cefotaxime Followed by once daily ceftriaxone Maybe dexamethasone (unclear)
How long to treat meningitis caused by meningococcus, pneumococcus or haemophilus in kids?
Meningococcus - 7 days
Pneumococcus - 14 days
Haemophilus - 10 days
Empirical management for penicillin allergic meningitis?
Chloramphenicol
Management of herpes simplex encephalitis?
Aciclovir IV
Management of meningitis contacts
Oral ciprofloxacin or rifampicin
Ciprofloxacin preferred as only need one dose
