Firstline - Clinical Decisions

Guidelines

Meningitis

Microbiology

Most Common Pathogens

Treatment

Neonates (< 1 mo)

Age 1-23 months

Age 2-50 years

Age > 50 y.o. or Immunocompromised

Blunt head trauma

HCAVM

Clinical Considerations

Clinical Presentation

Inflammation of meninges covering the brain and spinal cord
Severe headache, neck pain and stiffness, altered mental status
Systemic symptoms: fever, chills, vomiting and photophobia

Diagnosis

Lumbar puncture (LP) of cerebrospinal fluid (CSF) and analysis can help guide therapy before C&S results are available
- Do not delay antibiotic initiation if the LP is delayed
CT scan may be required

More Information

IDSA Bacterial Meningitis Guideline