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21 Cards in this Set

  • Front
  • Back

what is the most common cause of bacterial meningitis for < 2 months old (neonates)?

s. pneumo


s. aga


l. monocyto


N. men



what is the most common cause of bacterial meningitis for 2 months - 23 months?

S. pneumo


s. aga


H. inful


N. men

what is the most common cause of bacterial meningitis for 2 - 49 yo?

S. pneumo


N. men

what is the most common cause of bacterial meningitis for >= 50 yo (elderly)?

S. pneumo


L. mono


H. influ


N. men

what is the most common cause of bacterial meningitis for pts that experience head trauma/neurosurgery/CSF shunt?

S. aureus


P. aeruginosa


GNR

what is the drug of choice for empirical tx of bacterial meningitis in < 2 months old (neonates)?

amp + aminogly


amp + cefo

what is the drug of choice for empirical tx of bacterial meningitis in 2 months - 49 yo?

ceftriaxone + vanco

what is the drug of choice for empirical tx of bacterial meningitis in >= 50 yo?

triple therapy


Ceftriaxone + Vanco + amp

what is the drug of choice for empirical tx of bacterial meningitis in pt that have head trauma/neurosurgery/CST Shunt?

Vanco + (Cefepime or Ceftazidieme or Meropenem)



what is the first line tx and alternative tx for s. pneumo for meningitis w/ pen sensitivity?




what is the duration of therapy?

first line = pen G or amp




Altern = ceftriaxone or chlorampenicol




10-14 days

what is the first line tx and alternative tx for s. pneumo for meningitis w/ pen intermediate sensitivity?




what is the duration of therapy?

first line = ceftriaxone




alternative = cefepime or meropenem




10-14 days

what is the first line tx and alternative tx for s. pneumo for meningitis w/ pen resistant?




what is the duration of therapy?

first line = vanc + ceftriaxone




alternative = moxiflox or linezolide




10-14 days

what is the first line tx and alternative tx for n. men for meningitis w/ pen sensitivity?




what is the duration of therapy?

same as s. pneumo




7 days

what is the first line tx and alternative tx for n. men for meningitis w/ pen resistance?




what is the duration of therapy?

first line = ceftriaxone




alternative = fluroquin, meropenem, or chloramphenicol




7 days

What is the first line tx and alternative tx for listeria for meningitis?




what is the duration of therapy?

first line = pen G or amp




alternative = TMP-SMX or Meropenem




>= 21 days

What is the first line tx and alternative tx for P. aeruginosa for meningitis?




what is the duration of therapy?

first line = cefepime or ceftazidime




alternative = aztreoname or cipro or meropenem




21 days

What is the first line tx and alternative tx for S. agalactica for meningitis?

first line = pen G or Amp




altern = ceftriaxone



What is the first line tx and alternative tx for H. influ for meningitis w/ beta-lactamase (+)?




what is the duration of therapy?

first line = Amp




alternative = cetriaxone, cefepime, fluoroquin, or chlorampenicol




7 days

What is the first line tx and alternative tx for H. influ for meningitis w/ beta-lactamase




what is the duration of therapy?

first line = ceftriaxone




alternative = cefepime, fluoroquin, or chloremphenicol




7 days

what is the prophylaxis treatment for N. men in children and adults?

children = Rifampin 10mg/kg PO q12h x2




adults = Rifampin 600 mg PO q12h x2


Cipro 500 mg PO x 1 dose


Ceftriaxone 125-250 mg IM x 1 dose

what is the prophylaxis treatment for H. influ in children and adults?

children = 20 mg/kg PO QD x 4




adults = Rifampin 600 mg PO QD x4