Term
| Bacterial meningitis: Empiric therapy in < 6 weeks old |
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Definition
Bacterial meningitis: Empiric therapy in < 6 weeks old
Ampicillin + Cefotaxime
Also + gentamicin in early neonatal meningitis with suspected strep B |
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Term
| Bacterial meningitis: Empiric therapy in 6 weeks - 3 months old |
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Definition
| Bacterial meningitis: Empiric therapy in 6 weeks - 3 months old Ceftriaxone OR cefotaxime + Ampicillin + Vancomycin |
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Term
| Bacterial meningitis: Empiric therapy in > 3 months to adults |
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Definition
Bacterial meningitis: Empiric therapy in > 3 months to adults
Ceftriaxone OR cefotaxime
+ Vancomycin |
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Term
| Bacterial meningitis: Empiric therapy in adults > 50 and alcholics |
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Definition
Bacterial meningitis: Empiric therapy in adults > 50 and alcholics
Vancomycin + Ampicillin + Ceftriaxone OR Cefotaxime |
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Term
What anti-inflammatory should be used in anti-meningitis therapy?
What should be added to resistant pneumococci in a patient who received dexamethasone? |
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Definition
Use IV dexamethasone in addition to Abx therapy
Should use Rifampin in addition to Abx therapy in patients with resistant pneumococci who used IV dexamethasone |
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Term
| Post-exposure prophylaxis - Prophylaxis to H. influenzae In > 1 month old? In pregnant women? |
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Definition
Post-exposure prophylaxis - Prophylaxis to H. influenzae
In > 1 month old - RIFAMPIN x 4 days
In pregnant women - RIFAMPIN CONTRAINDICATED |
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Term
Post-exposure prophylaxis - Prophylaxis to N. Meningitidis
< 1 month ?
> 1 month ?
Adults > 18 ?
Pregnant women? |
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Definition
Post-exposure prophylaxis - Prophylaxis to N. Meningitidis
< 1 month - RIFAMPIN x 2 days
> 1 month - RIFAMPIN or Ceftriaxone
Adults > 18 - Rifampin or Ceftriaxone or Cipro
Pregnant women - DOC: Ceftriaxone |
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Term
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: Penicillin susceptible S. Pneumo
Primary ?
Alternative? |
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Definition
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: Penicillin susceptible S. Pneumo
Primary - Penn G
Alternative - Ceftrax or Cefotax |
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Term
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: Penicillin resistant S. Pneumo
Primary ?
Alternative? |
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Definition
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: Penicillin resistant S. Pneumo
Primary - Cefotax or Ceftrax + Vancomycin +/- Rifampin
Alternative? |
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Term
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: N. Meningitidis
Primary ?
Alternative?
If resistant to penicillins? |
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Definition
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: N. Meningitidis
Primary - Penn G
Alternative - Ceftax or Ceftrax
If resistant to penicillins - Ceftax or Ceftrax |
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Term
| Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: H. influenzae (B-lactamase neg) Primary ? Alternative? |
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Definition
| Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: H. influenzae (B-lactamase neg) Primary - Ampicillin Alternative - Ceftax or Ceftrax |
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Term
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: H. influenzae (B-lactamase(+) )
Primary ?
Alternative? |
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Definition
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: H. influenzae (B-lactamase(+) )
Primary - Ceftax or Ceftrax |
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Term
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: Group B Strep.
Primary ?
Alternative? |
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Definition
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: Group B Strep.
Primary - Penicillin + Gentamicin
Alternative - Ampicillin or Cefotaxime |
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Term
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: L. Monocytogenes
Primary ?
Alternative? |
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Definition
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis: L. Monocytogenes
Primary - Ampicillin + gentamicin
Alternative - Septra |
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Term
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis:
Enterobacteriaceae
Primary ?
Alternative? |
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Definition
Antibacterial Regimens for specific pathogens in uncomplicated Meningitis:
Enterobacteriaceae
Primary - Ceftriaxone or Cefotaxime + Gentamicin
Alternative - Meropenem |
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