Bacterial Meningitis
Post-Neurosurgery

Post-Neurosurgery

Microbiology

Staphylococci

Gram-negatives

Antibiotic Treatment

Adjunctive Dexamethasone

Recommended in all adult patients with suspected pneumococcal meningitis

Dexamethasone 0.15 mg/kg IV Q6h for 2-4 days

  • Administer 10-20 minutes BEFORE first dose of antibiotics; do not give after antibiotics
  • Continue only if CSF shows Gram-positive diplococci or if blood/CSF grows S. pneumoniae