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Meningitis
Empiric Treatment
14
Pharmacology
Graduate
03/02/2011
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Cards

Term
< 1 month
 Definition
Ampicillin + Cefotaxime; or Ampicillin + Aminoglycoside
Term
1 month-50 years
 Definition
Vancomycin + 3rd Generation Cephalosporin (Cefotaxime or Ceftriaxone)
Term
>50 years
 Definition
Vancomycin + 3rd Generation Cephalosporin (Cefotaxime or Ceftriaxone) + Ampicillin
Term
G+ Diplococci (S. pneumo)
 Definition
3rd Generation Cephalosporin (Cefotaxime or Ceftriaxone) + Vancomycin + Dexamethasone
Term
G- Diplococci (N. meningitidis)
 Definition
Ceftriaxone or Cefotaxime
Term
G+ Bacilli (L. monocytogenes)
 Definition
Ampicillin + Gentamicin
Term
G- Bacilli (H. flu, P. aeruginosa)
 Definition
Ceftazidime or Cefepime + Gentamicin
Term
Group B Strep
 Definition
Penicillin G or Ampicillin
Term
H. flu
 Definition
3rd Generation Cephalosporin (Cefotaxime or Ceftriaxone)
Term
N. meningitidis
 Definition
3rd Generation Cephalosporin (Cefotaxime or Ceftriaxone)
Term
L. monocytogenes
 Definition
Ampicillin + Gentamicin
Term
S. pneumoniae MIC < 0.1
 Definition
Penicillin G or Ampicillin
Term
S. pneumoniae 0.1-1
 Definition
3rd Generation Cephalosporin (Cefotaxime or Ceftriaxone)
Term
S. pneumoniae > 2
 Definition
3rd Generation Ceph. (Cefotaxime or Ceftriaxone) + Vancomycin
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