Treatment

Question 1

What is the correct pre hospital management?

Answer 1

IM penicillin

Fluids/Paracetamol

999 and prepare the hospital for arrival

Question 2

What is the correct initial hospital management?

Answer 2

ABCDE - try and stabilise

Fluid resus if not Raised ICP

LP if no contraindications (Shock, Raised ICP, coagulopathy, local sepsis)

Question 3

What is the correct treament for viral meningitis

Answer 3

Herpes - Aciclovir

CMV - Ganclovir

Question 4

What do you do if you can not confirm via LP

Answer 4

Treat anyway - confirm later

Question 5

What is the correct treament for bacterial meningitis of each age if you do not yet know the cause?

Answer 5

Babies - amoxicillin, aminoglycosides and ceftrixone

3m - 3yrs - Amoxicillin, ceftrixone +/- vancomycin

Teenagers - Ceftrioxone

Elderly - amoxicillin and ceftrixone

Question 6

With what infection do you take public health measures?

Answer 6

N.meningitidis

Question 7

What is the criteria for chemoprophylaxis?

Answer 7

Prologned contact for the past 7 days as this is the incubation period.

Question 8

What is the theory behind chemoprophylaxis:

Answer 8

Elimination of the carrier to eliminate it from the local unit - not individual

Question 9

What is the prophylaxis?

Answer 9

Ciprofloxacin