Meningitis

Does not include:

When to suspect Meningitis

Treatment

Resuscitation

Antibiotics

INFANTS (> 2months of age) AND CHILDREN

Ceftriaxone 100mg/ kg/ o.d IV/ IM x 7 - 10 days

NEONATES and INFANTS <2 month of age

X-pen 100, 000 IU/ kg/ dose 6-hourly (QID)
+ Gentamycin 6mg/ kg OD
for 14 - 21 days

OR

Ceftriaxone 100 mg/ kg OD for 10 days
(discuss with Consultant)

  • Try to keep the IV treatment for at least 48 hours AND as long as possible; but IM antibiotics can then be used
  • Give all antibiotics parenterally
  • Switch to appropriate antibiotics as soon as culture & sensitivities are known
  • Steroids are NOT necessary
  • Salmonella Meningitis

    Supportive Management

    Fluids/ Nutritional Support

    Blood Sugar

    Oxygen

    Hyperpyrexia

    Convulsions

    Convulsion protocol

    Monitoring

    Discharge and Follow - Up