Bacterial meningitis (IDSA 2004): Difference between revisions
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==Table 4: Empiric Treatment== |
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{| class="wikitable" |
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{| |
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!Population |
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!Common pathogens |
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!Antimicrobial therapy |
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! colspan="3" |Age |
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|<1 month |
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|[[Group B streptococcus]], [[Escherichia coli]], [[Listeria]], [[Klebsiella]] |
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|amp + cefotax, or<br />amp + AG |
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|1-23 months |
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|[[Streptococcus pneumoniae]], [[Neisseria meningitidis]], [[Group B streptococcus]], [[Haemophilus influenzae]], [[Escherichia coli]] |
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| S.pneumo, N.mening, GBS, H.flu, E.coli |
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|vanco + 3G ceph |
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|2-50 years |
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|[[Neisseria meningitidis]], [[Streptococcus pneumoniae]] |
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| N.mening, S.pneumo |
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|vanco + 3G ceph |
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|>50 years |
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|[[Streptococcus pneumoniae]], [[Neisseria meningitidis]], [[Listeria]], [[Gram-negative bacilli]] |
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| S.pneumo, N.mining, Listeria, GNBs |
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|vanco + 3G ceph + amp |
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! colspan="3" |Head trauma |
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|Basilar skull fracture |
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|[[Streptococcus pneumoniae]], [[Haemophilus influenzae]], [[GAS]] |
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| S.pneumo, H.flu, GAS |
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|vanco + 3G ceph |
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|Penetrating trauma |
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|[[Staphylococcus aureus]], [[coagulase-negative staphylococci]], [[Gram-negative bacilli]] |
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| Staph.aureus, CoNS, GNBs |
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|vanco + cefep, or<br />vanco + ceftaz, or<br />vanco + mero |
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|Post-neurosurgery |
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|[[Gram-negative bacilli]], [[Staphylococcus aureus]], [[coagulase-negative staphylococci]] |
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| GNBs, Staph.aureus, CoNS |
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|vanco + cefep, or<br />vanco + ceftaz, or<br />vanco + mero |
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|CSF shunt |
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|[[Coagulase-negative staphylococci]], [[Staphylococcus aureus]], [[Gram-negative bacilli]], [[Cutibacterium acnes]] |
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| CoNS, Staph,aureus, GNBs, P.acnes |
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|vanco + cefep, or<br />vanco + ceftaz, or<br />vanco + mero |
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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
