Group B streptococcal infection medical therapy: Difference between revisions
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| style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF;" align=center | '''Age''' || style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF;" align=center |'''Possible pathogens causing the bacterial meningitis'''|| style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF;" align=center |'''Empirical treatment''' | | style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF;" align=center | '''Age''' || style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF;" align=center |'''Possible pathogens causing the bacterial meningitis'''|| style="padding: 0 5px; font-size: 100%; background: #4682B4; color: #FFFFFF;" align=center |'''Empirical treatment''' | ||
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| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |< 1 month ||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |[[Streptococcus agalactiae]] <br> [[Escherichia coli]] <br> [[Listeria monocytogenes]] <br> [[Klebsiella]]|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |[[Ampicillin]] + [[cefotaxime]] <br> OR <br> [[Ampicillin]] + [[aminoglycoside]] | | style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |< 1 month ||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |[[Streptococcus agalactiae]] <br> [[Escherichia coli]] <br> [[Listeria monocytogenes]] <br> [[Klebsiella]]|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |[[Ampicillin]] 150 mg/kg + [[cefotaxime]] <br> OR <br> [[Ampicillin]] 150 mg/kg + [[aminoglycoside]] | ||
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| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |1-23 months ||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |[[Streptococcus pneumoniae]] <br> [[Neisseria meningitidis]] <br> [[Streptococcus agalactiae]] <br> [[Haemophilus influenzae]] <br> [[E. coli]]|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |[[Vancomycin]] + third generation [[cephalosporin]] | | style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |1-23 months ||style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |[[Streptococcus pneumoniae]] <br> [[Neisseria meningitidis]] <br> [[Streptococcus agalactiae]] <br> [[Haemophilus influenzae]] <br> [[E. coli]]|| style="font-size: 100; padding: 0 5px; background: #B8B8B8" align=left |[[Vancomycin]] + third generation [[cephalosporin]] | ||
Revision as of 21:35, 19 August 2014
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Group B Streptococcal Infection Microchapters |
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Differentiating Group B Streptococcal Infection from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Group B streptococcal infection medical therapy On the Web |
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American Roentgen Ray Society Images of Group B streptococcal infection medical therapy |
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Directions to Hospitals Treating Group B streptococcal infection |
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Risk calculators and risk factors for Group B streptococcal infection medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]
Overview
Medical Therapy
Empirical Antibiotic Therapy in Neonatal Meningitis
GBS should be suspected as a causative agent for bacterial meningitis in infants less than two years of age for whom empirical antibiotic therapy should be initiated immediately.
| Age | Possible pathogens causing the bacterial meningitis | Empirical treatment |
| < 1 month | Streptococcus agalactiae Escherichia coli Listeria monocytogenes Klebsiella |
Ampicillin 150 mg/kg + cefotaxime OR Ampicillin 150 mg/kg + aminoglycoside |
| 1-23 months | Streptococcus pneumoniae Neisseria meningitidis Streptococcus agalactiae Haemophilus influenzae E. coli |
Vancomycin + third generation cephalosporin |
Targeted Antibiotic Therapy in Neonatal Meningitis
| Recommended therapy for GBS meningitis | Alternative therapy for GBS meningitis |
| Ampicillin OR Penicillin Consider adding an aminoglycoside |
Third generation cephalosporin (Ceftriaxone or cefotaxime) |