CNS Flashcards
(11 cards)
What are the most common causative organisms for bacterial meningitis in > 60s?
Streptococcus pneumonia
Neisseria meningitidis
Listeria monocytogenes
What is the management of a bacterial meningitis in over 60s?
IV Ceftriaxone + IV amoxicillin
What is the most common causative organism for meningitis for patients between 3 months and- 60yrs old?
Neisseria meningitis
Streptococcus pneumonia
What is the management of a bacterial meningitis for patients aged 3months - 60?
IV Ceftriaxone
What are the most common causative organisms for meningitis in patients < 3months old?
Group B streptococcus
Eschercia coli
Listeria monocytogenes
What is the management for bacterial meningitis in <3month olds?
IV cefotaxime + IV amoxicillin and gentamicin
What additional medication can be given to help treat bacterial meningitis in patients over 3 months old?
IV dexamethasone
When can you not give IV dexamethasone when treating over 3month olds with bacterial meningitis?
Signs of sepsis
Immunocompromised
Meningitis following surgery
Meningococcal sepsis
When can you not perform a lumbar puncture/when should the lumbar puncture be delayed in a patient with suspected meningitis?
Significant bleeding
Signs of raised ICP
Severe sepsis
Severe resp/cardiac compromise
What are some signs of raised ICP which would lead to a delayed lumbar puncture in a patient with meningitis?
Papilloedema
Focal neurological signs
Continuous or uncontrolled seizures
GCS < 9
What medication can be given to contacts of a patient with meningococcal sepsis as prophylaxis?
Oral ciprofloxacin
