Quick Answer: Which Steroid Should Be Given To Patients With Bacterial Meningitis As Adjunctive Therapy?

Why do we give dexamethasone in meningitis?

Dexamethasone reduces morbidity and mortality in bacterial meningitis by blunting the inflammatory response secondary to bacterial lysis, which frequently causes detrimental physiologic effects.

Dexamethasone should be given prior (20 minutes before) or concurrently with antibiotics..

What antibiotics are used to treat meningitis?

Commonly used meningitis treatments include a class of antibiotics called cephalosporins, especially Claforan (cefotaxime) and Rocephin (ceftriaxone). Various penicillin-type antibiotics, aminoglycoside drugs such as gentamicin, and others, are also used.

What type of precautions are used for meningitis?

Meningococcal meningitis patients should be placed on droplet precautions (private room, mask for all entering the room) until they have completed 24 hours of appropriate antibiotic therapy. Negative pressure ventilation is not required. Patients with pneumococcal or viral meningitis do not require isolation.

What is the drug of choice for bacterial meningitis?

Since then, penicillin has remained the drug of choice for the treatment of meningococcal meningitis. However, current IDSA guidelines list ceftriaxone or cefotaxime as the drugs of choice. The image below shows indications of increased intracranial pressure, an early complication of bacterial meningitis.

What is the best medicine for meningitis?

Acute bacterial meningitis must be treated immediately with intravenous antibiotics and sometimes corticosteroids. This helps to ensure recovery and reduce the risk of complications, such as brain swelling and seizures. The antibiotic or combination of antibiotics depends on the type of bacteria causing the infection.

How long can you have meningitis without knowing?

Symptoms of bacterial meningitis can appear quickly or over several days. Typically they develop within 3 to 7 days after exposure. Later symptoms of bacterial meningitis can be very serious (e.g., seizures, coma). For this reason, anyone who thinks they may have meningitis should see a doctor as soon as possible.

Why are steroids used to treat meningitis?

Using Steroids to Treat Meningitis Steroids reduce inflammation and pressure within the brain, thus lessening a person’s risk of having seizures and hearing problems.

What part of neck hurts with meningitis?

A headache caused by meningitis is typically described as severe and unrelenting. It does not subside by taking an aspirin. Stiff neck. This symptom most commonly involves a reduced ability to flex the neck forward, also called nuchal rigidity.

Can you have meningitis for years?

Bacterial meningitis may be subacute rather than acute. Chronic meningitis develops slowly, over weeks or longer, and may last for months to years. Rarely, chronic meningitis causes only mild symptoms and resolves on its own.