علاج التهاب السحايا البكتيري في كسر قاعدة الجمجمة أو الغرسة القوقعية

References

• Patients with basilar skull fracture or cochlear implant
• Vancomycin plus ceftriaxone
• Alternative: meropenem plus vancomycin
• Because the etiology is not known at presentation, dexamethasone should be given before or at the time of initial antibiotics while awaiting the final culture results in all patients older than six weeks with suspected bacterial meningitis.
• Dexamethasone can be discontinued after four days or earlier if the pathogen is not H. influenzae or S. pneumoniae, or if CSF findings are more consistent with aseptic meningitis.
• Repeat LP is generally not needed but should be considered to evaluate CSF parameters in persons who are not clinically improving after 48 hours of appropriate treatment.