What is the treatment for bacterial meningitis?

TMS AI answer: The treatment for bacterial meningitis involves a combination of antibiotics and supportive care. The choice of antibiotics is based on the likely causative organism and local resistance patterns. In general, third-generation cephalosporins such as Cefotaxime or Ceftriaxone are the first-line antibiotics for bacterial meningitis in patients aged 3 months to 50 years. For patients over 50 years old, ampicillin or amoxicillin is added to the regimen to cover for Listeria monocytogenes. In cases where pneumococcal meningitis is suspected, dexamethasone is also administered, especially if the patient is not in septic shock, has meningococcal septicaemia, or is immunocompromised.

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In severe sepsis, intravenous antibiotics and fluid resuscitation are essential. If consciousness is affected, intravenous acyclovir may be considered to cover for encephalitis. Close contacts of the patient within one week before the onset of symptoms should receive prophylaxis with rifampicin or ciprofloxacin.

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It's important to note that the treatment regimen should be tailored to the individual patient based on factors such as age, underlying health conditions, and the specific causative organism. Therefore, it's crucial to consult a healthcare professional for the appropriate management of bacterial meningitis.

 

In summary, the treatment for bacterial meningitis includes:

• Antibiotics such as Cefotaxime, Ceftriaxone, ampicillin, or amoxicillin based on age and suspected causative organism

• Supportive care including fluid resuscitation in severe sepsis

• Consideration of prophylaxis for close contacts

• Tailoring the treatment based on individual patient factors and consulting a healthcare professional for appropriate management.