Define meningococcal meningitis
infection of the meningies
Define meningococcal septicaemia
infection of the blood stream
Causes of meningitis in neonates <3 (3)
- Ecoli
- Listeria monocytogenes
- Group B strep
Most common cause of meningitis in neonates
Group B strep
Name 3 causes of meningitis in infants
- Neisseria meningitis
- Haemophilius influenza
- Strep pneumonia
Name 2 causes of meningitis in older children > 6 years
- Neisseria meningitis
2. Strep pneumonia
describe meningitis rash
- Non blanching purpuric rash
Features of a meningitis history (4)
- Fever
- Headache
- Lethargy
- Poor feeding and drowsiness
Features of examination in meningitis
- Fever
- Purpuric rash
- Bulging fontanelles
- Neck stiffness
- Arching of back
Investigations to perform in meningitis
- Bloods
- FBC
- U and E
- LFT
- Blood glucose - ABG - for acidosis
- Culture of blood, throat and urine - to find pathogen
Procedures and scans t perform
- Lumbar puncture
2. CT/MRI of head
Immediate mx of febrile child with purpuric rash
- IM benzylpenicillin
Tx for meningitis in baby < 1 month
IV ceftriaxone/cefotaxamine
Tx for meningitis in > 1 month
- IV ceftriaxone
2. Amoxicillin
What antibiotic should be added to therapy if recent travel abroad?
- Vancomycin
When should dexomethasone be given?
> 1 month and haemophilius influenza infection
Major criteria of Mx of Meningitis
- Antibiotics
- Steroids
- Fluids
- Public health notification
Antibiotic prophylaxis in public health?
- Rifampicin or Ceftrixone
Signs of shock are?
- Tachycardia
- Tachypnoea
- Reduced caprefill
- Hypotension
