Bacterial meningitis (IDSA 2004): Difference between revisions
From IDWiki
No edit summary |
(→: cleaned up table) |
||
| (2 intermediate revisions by the same user not shown) | |||
| Line 3: | Line 3: | ||
== |
==Table 4: Empiric Treatment== |
||
{| class="wikitable" |
|||
{| |
|||
! |
!Population |
||
! |
!Common pathogens |
||
! |
!Antimicrobial therapy |
||
|- |
|- |
||
! colspan="3" |Age |
|||
| |
|||
| |
|||
|- |
|- |
||
| |
|<1 month |
||
| |
|[[Group B streptococcus]], [[Escherichia coli]], [[Listeria]], [[Klebsiella]] |
||
| |
|amp + cefotax, or<br />amp + AG |
||
|- |
|- |
||
| |
|1-23 months |
||
|[[Streptococcus pneumoniae]], [[Neisseria meningitidis]], [[Group B streptococcus]], [[Haemophilus influenzae]], [[Escherichia coli]] |
|||
| S.pneumo, N.mening, GBS, H.flu, E.coli |
|||
| |
|vanco + 3G ceph |
||
|- |
|- |
||
| |
|2-50 years |
||
|[[Neisseria meningitidis]], [[Streptococcus pneumoniae]] |
|||
| N.mening, S.pneumo |
|||
| |
|vanco + 3G ceph |
||
|- |
|- |
||
| |
|>50 years |
||
|[[Streptococcus pneumoniae]], [[Neisseria meningitidis]], [[Listeria]], [[Gram-negative bacilli]] |
|||
| S.pneumo, N.mining, Listeria, GNBs |
|||
| |
|vanco + 3G ceph + amp |
||
|- |
|- |
||
! colspan="3" |Head trauma |
|||
| |
|||
| |
|||
|- |
|- |
||
| |
|Basilar skull fracture |
||
|[[Streptococcus pneumoniae]], [[Haemophilus influenzae]], [[GAS]] |
|||
| S.pneumo, H.flu, GAS |
|||
| |
|vanco + 3G ceph |
||
|- |
|- |
||
| |
|Penetrating trauma |
||
|[[Staphylococcus aureus]], [[coagulase-negative staphylococci]], [[Gram-negative bacilli]] |
|||
| Staph.aureus, CoNS, GNBs |
|||
| |
|vanco + cefep, or<br />vanco + ceftaz, or<br />vanco + mero |
||
|- |
|- |
||
| |
|Post-neurosurgery |
||
|[[Gram-negative bacilli]], [[Staphylococcus aureus]], [[coagulase-negative staphylococci]] |
|||
| GNBs, Staph.aureus, CoNS |
|||
| |
|vanco + cefep, or<br />vanco + ceftaz, or<br />vanco + mero |
||
|- |
|- |
||
| |
|CSF shunt |
||
|[[Coagulase-negative staphylococci]], [[Staphylococcus aureus]], [[Gram-negative bacilli]], [[Cutibacterium acnes]] |
|||
| CoNS, Staph,aureus, GNBs, P.acnes |
|||
| |
|vanco + cefep, or<br />vanco + ceftaz, or<br />vanco + mero |
||
|} |
|} |
||
Latest revision as of 19:51, 2 August 2020
Tunkel AR, Hartman BJ, Kaplan SL, Kaufman BA, Roos KL, Scheld WM, Whitley RJ. Practice guidelines for the management of bacterial meningitis. Clin Infect Dis. 2004 Nov 1;39(9):1267-84. Epub 2004 Oct 6. doi: 10.1086/425368
