peds men

Causative in neonates?
- GBS
- E Coli
Causative in child less than 5
- S. pneumoniae
- N meningitidis
- Hib
greater than 5 yo
- S. pneumoniae
- N. meningitidis
Viral-?
and treatment
- neonatal- HSV
- Child- enterovirus, adenovirus
acyclovir 60mg/kg/d
Bacterial?
- WBC- 400-100K
- PMNs >90
- glucose < .5 serum
- protein 80-500mg/dl
- smear +!
prophylaxis of mothers dosage is GBS +

PCN or AMP (2g iv x1 +1g iv q4h during labor)

screen at 32-35 wks
vaccination for meningitis
- streptococcus pneumoniae- (leading cause in childhood)
- vaccine is Prevnar (PCV7)- covers 7 serotypes
Empiric treatment in neonates
- Amp + (gentamicin of cefotaxime)
- if GBS, L monocytogenes keep amp and 72 hours gent duration 10-21d
if comes back gram - (E coli, Klebsiella, enterobacter) give cefotaxime
Treatment in 1 month to 5 years
empiric: ceftriaxone and vancomycin
- if
- S. pneumoniae cont for 10-14d
- N. meningitidis penicillin or amp of ceftriaxone x 7d
- Hib- ceftriaxone 10-14d
treatment in children greater than 5

empiric treatment- ceftriaxone + vancomycin

same as 1-5 same agents

Author

Anonymous

9069

Card Set

peds men

Description

meningitis

Updated

2010-03-04T06:27:48Z

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