Meningitis

Question 1

What are 3 drugs that can be used in prophylaxis for contacts of a patient with Neiserria?

Answer 1

Rifampicin
Ciprofloxacin
Ceftriaxone

Question 2

What is the preferred post exposure prophylaxis for Neiserria exposure in pregnancy?

Answer 2

Ceftriaxone

- Rifampicin and Ciprofloxacin contraindicated in pregnancy

Question 3

What is the empiric treatment for meningitis?

Answer 3

Ceftriaxone

Vancomycin

Question 4

Why is Vancomycin included in the empiric treatment for meningitis?

Answer 4

To cover for possible penicillin/cephalosporin resistance of strep pneumoniae while awaiting senstitivites

Question 5

What is the range of MIC that implies strep pneumoniae resistance in meningitis?

Answer 5

MIC greater then 0.16 indicates resistance

Question 6

What is the range of MIC signifies strep pneumoniae resistance in non-CNS infections?

Answer 6

MIC greater then 4 indicates resistance