Template:Meningitis Antibiotics: Difference between revisions

(Created page with "'''Guidelines'''<ref>van de Beek D. et al. Advances in treatment of bacterial meningitis. Lancet. Nov 10 2012;380(9854):1693-702</ref>: ====Age 18-50y==== #Ceftriaxone 2gm...")
 
No edit summary
Line 1: Line 1:
'''Guidelines'''<ref>van de Beek D. et al. Advances in treatment of bacterial meningitis. Lancet. Nov 10 2012;380(9854):1693-702</ref>:
====Guidelines:<ref>van de Beek D. et al. Advances in treatment of bacterial meningitis. Lancet. Nov 10 2012;380(9854):1693-702</ref>====
====Age 18-50y====
;Age 18-50y
#[[Ceftriaxone]] 2gm IV q12hr + [[vancomycin]] 15mg/kg q8-12hr
#[[Ceftriaxone]] 2gm IV q12hr + [[vancomycin]] 15mg/kg q8-12hr
#(vancomycin is for resistant pneumococcus)
#(vancomycin is for resistant pneumococcus)
====Age >50y====
;Age >50y
#[[Ceftriaxone]] 2gm IV q12hr + [[vancomycin]] 15mg/kg q8-12hr + ampicillin 2gm IV q4h
#[[Ceftriaxone]] 2gm IV q12hr + [[vancomycin]] 15mg/kg q8-12hr + ampicillin 2gm IV q4h
#([[Ampicillin]] is for [[Listeria monocytogenes|Listeria]])
;CSF leak with closed head trauma
====CSF leak with closed head trauma====
#[[Ceftriaxone]] 2gm IV q12hr + [[vancomycin]] 15mg/kg q8-12hr  
#[[Ceftriaxone]] 2gm IV q12hr + [[vancomycin]] 15mg/kg q8-12hr  
====Penetrating head injury (or recent surgery)====
;Penetrating head injury (or recent surgery)
#(Ceftazidime 2gm IV q8hr or cefepime or meropenem) + vanco 25 milligrams/kg load
#(Ceftazidime 2gm IV q8hr or cefepime or meropenem) + vanco 25 milligrams/kg load
====Meningitis due to [[Sinusitis]]====
;Meningitis due to [[Sinusitis]]
#[[Ceftriaxone]] + [[Metronidazole]]
#[[Ceftriaxone]] + [[Metronidazole]]
====Meningitis with severe PCN allergy====
;Meningitis with severe PCN allergy
#chloramphenicol 1g IV q6h + [[vancomycin]] 15mg/kg q8-12hr
#chloramphenicol 1g IV q6h + [[vancomycin]] 15mg/kg q8-12hr

Revision as of 03:14, 19 June 2014

Guidelines:[1]

Age 18-50y
  1. Ceftriaxone 2gm IV q12hr + vancomycin 15mg/kg q8-12hr
  2. (vancomycin is for resistant pneumococcus)
Age >50y
  1. Ceftriaxone 2gm IV q12hr + vancomycin 15mg/kg q8-12hr + ampicillin 2gm IV q4h
CSF leak with closed head trauma
  1. Ceftriaxone 2gm IV q12hr + vancomycin 15mg/kg q8-12hr
Penetrating head injury (or recent surgery)
  1. (Ceftazidime 2gm IV q8hr or cefepime or meropenem) + vanco 25 milligrams/kg load
Meningitis due to Sinusitis
  1. Ceftriaxone + Metronidazole
Meningitis with severe PCN allergy
  1. chloramphenicol 1g IV q6h + vancomycin 15mg/kg q8-12hr
  1. van de Beek D. et al. Advances in treatment of bacterial meningitis. Lancet. Nov 10 2012;380(9854):1693-702