Sepsis / Meningitis

Question 1

What is the empiric coverage for 0 to 1 month old?

Answer 1

Ampicililn and Gent

Question 2

What is the empiric coverage for 1 to 3 month old?

Answer 2

Ampicillin and Rocephin or Cefotaxime

Question 3

What is the empiric coverage for 3 months to 12 years old?

Answer 3

Rocephin and Vanc

Question 4

What is empiric coverage for > 12 y/o?

Answer 4

Rocephin and Vanc

Question 5

Why is rocephin not given to 0 to 1 month old?

Answer 5

biliary sludging - kernicerous

Question 6

What are the most common pathogens for 0 to 1 month old?

Answer 6

Viral (herpes), Group B Strep, E coli, Listeria, Coag negative staph, Gram negatives (psuedomonas or enterobacter)

Question 7

What are the most common pathogens for 1 to 3 months old?

Answer 7

all from 0 to1 month PLUS
H influenza
N. Meningitidis
Strep pneumo

Question 8

What are the most common pathogens for 3 months to 12 years?

Answer 8

H influenza
N. Meningitidis
Strep pneumo

Question 9

What are the most common pathogens for > 12 years?

Answer 9

N. Meningitidis

Strep pneumo

Question 10

What are the sequelae for meningitis?

Answer 10

hearing loss, visual impairment, mental retardation (decreased learning), seizures, hydrocephalus

Question 11

What drug is used for chemoprophylaxis of N meningitidis?

Answer 11

Rifampin BID x 2 days

Question 12

What is the dose of chemoprophylaxis for N menigitidis for older children?

Answer 12

Rifampin IM x 1 dose

Question 13

What drug is used for chemoprophylaxis for H influenza?

Answer 13

Rifampin x 4 days