Meningitis: Management Flashcards

1
Q

What investigations does NICE suggest in someone who has suspected meningitis?

A
  • Full blood count
  • CRP
  • Coagulation screen
  • Blood culture
  • Whole-blood PCR
  • Blood glucose
  • Blood gas
  • +/- Lumbar puncture (As long as there is no raised ICP)
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2
Q

What should be given in a pre-hospital setting if meningococcal disease is suspected?

When should it not be given?

A

IM Benzylpenicillin

Don’t give it will delay transit to hospital

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3
Q

What antibiotics does the BNF recommend if meningococcal disease is suspected?

A

IV Benzylpenicillin or cefotaxime

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4
Q

What antibiotics does the BNF recommend if pneumococcal disease is suspected?

A

IV Cefotaxime

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5
Q

What should the initial therapy be for children < 3 months old?

A

IV Cefotaxime & Amoxicillin

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6
Q

What should the initial therapy be for patients 3 months to 50 years?

A

IV cefotaxime

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7
Q

What should the initial therapy be for patients >50 years?

A

IV Cefotaxime and Amoxicillin

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8
Q

What should be offered if someone has a penicillin or cephalosporin allergy/

A

Chloramphenicol

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9
Q

What 2 things should be offered to household and close contacts of patients affected with meningococcal meningitis?

A

1/ Oral ciprofloxacin or rifampicin

2/ Meningococcal vaccination/Booster doses if already had the vaccine in infancy.

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10
Q

Between Ciprofloxacin and Rifampicin, which does the HPA say is the drug of choice?

A

Ciprofloxacin

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11
Q

When is risk highest for a close contact to become infected?

A

First week.

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12
Q

Is prophylaxis is needed for pneumococcal meningitis?

A

Generally no…unless there is a cluster of cases. If so HPA have a protocol for Abx prophylaxis.

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