Meningitis
Management Considerations

Management Considerations

Clinical Considerations

Delay of antibiotics increases mortality

Do not delay antibiotics if neuroimaging and/or LP is delayed

Droplet / Contact Precautions

Notify Infection Prevention and Control

Contact Public Health

Special Considerations

Immunocompromised (steroids, transplant patients, those with HIV) may may be at risk for uncommon infections such as fungal meningitis (e.g. Cryptococcus)

For S. pneumoniae CNS infections, the minimum inhibitory concentration (MIC) breakpoints for penicillin and ceftriaxone differ than for non-CNS infections. Consult microbiology if necessary