Paediatric Meningitis Flashcards
1
Q
What organisms are responsible for meningitis in neonates? [3]
A
- Group B Streptococci
- E. Coli
- Listeria Monocytogenes
2
Q
What organisms are usually responsible for meningitis in children? [3]
A
- Strep Pneumoniae
- Haemophilus Influneza
- Meningococci
3
Q
What are the symptoms of meningitis in children? [6]
A
- Nuchal Rigidity
- Headaches / Photophobia
- Diminshed consciousness
- Focal Neurological Abnormality
- Seizures
- Non-blanching rash (only in early stages)
4
Q
What are the meningococcal neonatal symptoms? [5]
A
- Lethargy
- Irritability
- Difficulty Feeding
- Bulging Fontanelle
- “Nappy Pain”
5
Q
What investigations do we conduct in suspected meningitis in children? [6]
A
- Full Bloods
- CSF
- Cultures (both blood and CSF)
- Urine culture
- Skin biopsy culture if rash
- CT- Cerebrum
6
Q
What bloods do we examine in suspected mengitis? [4]
A
- Increased CRP
- Low Coagulation Factors
- Blood Gases
- Hypoglycaemia
7
Q
What do we look for in a CSF sample for a child suspected of meningitis? [3]
A
- Increased Protein
- Low Glucose
- Increased Lymphocytes
8
Q
What is the ABCDEFG of supportive treatment for meningitis? [4]
A
Airway
Breathing
Circulation
Don’t Ever Forget Glucose
9
Q
What treatments are available for memingitis with confirmed cultures? [2]
A
- Ceftoxamine
- 3rd gen Cephalosporins
- Add amoxicillin if neonate
