Most common meningitis pathogens in older people
Think Listeria! Add amoxicillin
Most common meningitis pathogens in children
Haemophilus influenza
Neisseria Meningitides
Streptococcus Pneumonia
Most common meningitis pathogens in NEONATES
Group B strep most common
Listeria Monocytogenes
E. Coli
Most common meningitis pathogens (all)
Strep Pneumoniae
Neisseria Meningitides
(think Listeria if infant, over 60 or immunocompromised)
CSF in bacterial meningitis
-Neutrophils more than lymphocytes
-Less than 1/2 blood glucose
-Appearance is purulent
CSF in viral meningitis
-Lymphocytes raised, neutrophils normal
-clear CSF
-More than 1/2 blood glucose
Most common CSF pathogen in immunocompromised
Listeria Monocytogenes
Antibiotics for Meningitis (Tayside)
1st line IV Ceftriaxone (+/- Amoxicillin)
Suspected SAH.. CT within how long?
within 6 hours
if CT is done after this, do an LP 12 hours after symptoms
Most common pathogens for viral meningitis in adults
enteroviruses like cocksackie
