The algorithm can. Doctors in a e picu paediatrics and general medicine this algorithm poster for clinicians can aid rapid identification and appropriate management of bacterial meningitis in infants under three months of age an age group in which the symptoms are mostly non specific and resemble many other less serious viral illnesses. 2 3 however outcomes are improved by prompt.
1 despite ongoing advances in diagnostic methods and treatment strategies mortality remains as high as 30 in pneumococcal meningitis and 5 10 in meningococcal meningitis. Bacterial meningitis is a potentially catastrophic infectious disease associated with substantial mortality and a risk of permanent disability in survivors. However these medications can have serious side effects so treatment may be deferred until a laboratory can confirm that the cause is fungal.
Antifungal medications treat fungal meningitis and a combination of specific antibiotics can treat tuberculous meningitis. Treatment for chronic meningitis is based on the underlying cause. There are vaccines for 3 types of bacteria that can cause meningitis.
Vaccines are the most effective way to protect against certain types of bacterial meningitis. It is important to start treatment as soon as possible. Doctors treat bacterial meningitis with a number of antibiotics.
These guidelines should not replace a provider s professional medical advice based on clinical judgment or be used in lieu of an. If you are an individual experiencing a medical emergency call 911 immediately. The recommendations in this guide are meant to serve as treatment guidelines for use at michigan medicine facilities.
Symptoms at presentation can be non specific so early diagnostic consideration investigation and empiric treatment is needed. See also fluid management in meningitis lumbar puncture csf interpretation acute meningococcal disease febrile child afebrile seizures key points. Fluids given directly into a vein to prevent dehydration.
Antibiotics given directly into a vein.
Treatment algorithm for meningitis. The objective of these practice guidelines is to provide clinicians with recommendations for the diagnosis and treatment of bacterial meningitis. Patients with bacterial meningitis are usually treated by primary care and emergency medicine physicians at the time of initial presentation often in consultation with infectious diseases specialists neurologists and neurosurgeons. Initial management of suspected acute meningitis. Algorithm for the initial management of suspected acute meningitis.
Dexamethasone for the treatment of tuberculous. The initial treatment approach to the patient with suspected acute bacterial meningitis depends on early recognition of the meningitis syndrome rapid diagnostic evaluation and emergent antimicrobial and adjunctive therapy our management algorithm for infants and children is shown in figure 1 and that for adults is shown in figure 2. Treatment in hospital is recommended in all cases of bacterial meningitis as the condition can cause serious problems and requires close monitoring. Severe viral meningitis may also be treated in hospital.
Severe viral meningitis may also be treated in hospital. Treatment in hospital is recommended in all cases of bacterial meningitis as the condition can cause serious problems and requires close monitoring. The initial treatment approach to the patient with suspected acute bacterial meningitis depends on early recognition of the meningitis syndrome rapid diagnostic evaluation and emergent antimicrobial and adjunctive therapy our management algorithm for infants and children is shown in figure 1 and that for adults is shown in figure 2.
Dexamethasone for the treatment of tuberculous. Algorithm for the initial management of suspected acute meningitis. Initial management of suspected acute meningitis.
Patients with bacterial meningitis are usually treated by primary care and emergency medicine physicians at the time of initial presentation often in consultation with infectious diseases specialists neurologists and neurosurgeons. The objective of these practice guidelines is to provide clinicians with recommendations for the diagnosis and treatment of bacterial meningitis.
