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