Hospital management of Bacterial Meningitis in adults

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Hospital management of Bacterial Meningitis in adults.

Treatment process:

Make a provisional diagnosis:
Commence empirical treatment. Discuss with microbiology. Notify Public Health
Add Dexamethasone (prior to or with the first dose of antibiotic) if the patient has a high likelihood of bacterial meningitis, based on clinical features or CSF examination.
Review therapy according to results.

Remember to treat close contacts to eliminate carriage.

The Full Guideline "Guidelines for the Hospital Management of Bacterial Meningitis in Adults" is available here

Caution; the antibiotic doses recommended on this website are intended for adult patients with normal renal and liver function unless otherwise stated. Dosing advice for patients with renal impairment is available here.