meningitis

Annotations:

• 0-acute bacterial meningitis  in children ( neonatology 2mon-12yrs).1-viral meningo-encephalitis 

1. s. pneumonia

   Annotations:

   • trt by vancomycin +3rd generation cephalosporins i.v. alternative chloramphenicol.              
   1. INVESTIGATIONS
      1. BLOOD TEST
         1. BIochemical test
   2. CLINICAL SIGNS
      1. CLINICAL EXAMINATIONS

         Annotations:

         • Dx=Hx,Ex,Ix
   3. N. meningitidis

      Annotations:

      • 0-penicillin i.v. alternative 3rd generation cephalosprins 
      1. H. influenzae type b

         Annotations:

         • 0-3rd generation cephalosporins  i.v.
         1. Gram -ve or P. aeruginosa

            Annotations:

            • 3rd generation cephalosporins
            1. Gram -ve = immunocompromised

               Annotations:

               • 0-ceftazidime +aminoglycoside
               1. Listeria monocytogenes

                  Annotations:

                  • ampicillin I.V. alternative Trimethoprim -sulfamethaxzole 
                  1. neonatal period up to 3 month=3rd generation cephalosporins +ampicilin

                     Annotations:

                     • until you get the culture.
2. TREATMENT

   Annotations:

   • 0-ask to LP 1-admitted to hospital 2-empirical treatment. 3-waitting to result of LP (CSF analysis ). 4-trt according the causative agent. -------------------------------------------- pediatrics intensive care unit ICU => -shock=F/D/E. -ICP=endotracheal intubation           +hyperventilation.          +Furosemide           +Mannitol. -Seizure=Benzodiazepine               =s.Glucose .               =electrolyte.               then Phenytoin .