Meningitis medical therapy: Difference between revisions
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** The first dose of dexomethasone is given along with or 20 minutes prior to starting the antibiotics treatment. | ** The first dose of dexomethasone is given along with or 20 minutes prior to starting the antibiotics treatment. | ||
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;Shown below is a table summarizing the preferred and alternative empiric treatment for meningitis.<ref name="pmid15494903">{{cite journal |author=Tunkel AR, Hartman BJ, Kaplan SL, Kaufman BA, Roos KL, Scheld WM, Whitley RJ |title=Practice guidelines for the management of bacterial meningitis |journal=[[Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America]] |volume=39 |issue=9 |pages=1267–84 |year=2004 |month=November |pmid=15494903 |doi=10.1086/425368 |url=http://www.cid.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=15494903 |accessdate=2012-11-28}}</ref> | ;Shown below is a table summarizing the preferred and alternative empiric treatment for meningitis.<ref name="pmid15494903">{{cite journal |author=Tunkel AR, Hartman BJ, Kaplan SL, Kaufman BA, Roos KL, Scheld WM, Whitley RJ |title=Practice guidelines for the management of bacterial meningitis |journal=[[Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America]] |volume=39 |issue=9 |pages=1267–84 |year=2004 |month=November |pmid=15494903 |doi=10.1086/425368 |url=http://www.cid.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=15494903 |accessdate=2012-11-28}}</ref> | ||
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Ciprofloxacin | Ciprofloxacin | ||
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==References== | ==References== | ||
Revision as of 19:01, 13 January 2014
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Meningitis Main Page |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Medical Therapy
Pharmacotherapy
Empiric Treatment
- Do not wait for the results of the CT scan and the lumbar puncture; empiric treatment should be started as soon as possible.
- Blood cultures should be drawn before starting the antibiotic therapy, and then the antibiotic treatment should be changed once the blood culture results are out.
- Empiric antibiotic treatment should be started within 30 minutes after the patient presentation.
- In case of high suspicion of pneumococcal meningitis in adult patients, 0.15 mg/kg IV Q6H dexomethasone should be administered for 2 to 4 days.
- The first dose of dexomethasone is given along with or 20 minutes prior to starting the antibiotics treatment.