Meningococcal Disease Treatment and Prevention

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Questions and Answers

What is the treatment for pneumococcal meningitis in patients infected with ceftriaxone-susceptible strains?

  • 14-day course of vancomycin
  • Dexamethasone only for the entire duration
  • 10-day course of IV therapy with ceftriaxone
  • Discontinuation of vancomycin and treatment with 2 g ceftriaxone IV every 12 h (correct)

What is the purpose of seeking predisposing conditions in adults with pneumococcal meningitis?

  • To determine the type of meningitis
  • To administer antibiotics
  • To determine the severity of the disease
  • To manage the underlying conditions in conjunction with otorhinolaryngology (correct)

What is the recommended duration of IV therapy for pneumococcal meningitis?

  • 7-10 days
  • 10-14 days (correct)
  • 14-21 days
  • 21-28 days

What is the complication of meningococcal disease that may require debridement or amputation?

<p>Purpura fulminans (B)</p> Signup and view all the answers

What is the purpose of Gram stain or PCR in the diagnosis of meningitis?

<p>To provide a presumptive microbiological diagnosis (B)</p> Signup and view all the answers

What is the recommended duration of antibiotic therapy for meningococcal meningitis according to most guidelines?

<p>5-7 days (D)</p> Signup and view all the answers

Why should rifampicin be avoided in women taking the oral contraceptive pill?

<p>Due to potential interactions with the oral contraceptive pill (C)</p> Signup and view all the answers

When should patients with meningococcal disease be placed in droplet precautions?

<p>Until 24 hours of antibiotic therapy has been given (C)</p> Signup and view all the answers

What is the preferred option for clearance antibiotics in pregnant women?

<p>Ceftriaxone (C)</p> Signup and view all the answers

What is the purpose of notifying public health authorities in cases of suspected or confirmed meningococcal disease?

<p>To initiate contact tracing (A)</p> Signup and view all the answers

In what situation can dexamethasone be stopped in patients with meningococcal disease?

<p>When confirmed meningococcal meningitis (B)</p> Signup and view all the answers

When should clearance antibiotics be initiated for the index case?

<p>As soon as possible, ideally on the day of diagnosis (D)</p> Signup and view all the answers

Why is serotyping of the infecting organism important?

<p>To recommend vaccination for close contacts (D)</p> Signup and view all the answers

What is the treatment of choice for meningitis caused by Listeria monocytogenes?

<p>Benzylpenicillin IV (C)</p> Signup and view all the answers

What is the recommended duration of IV antibiotics for meningitis caused by L.monocytogenes?

<p>At least 21 days (B)</p> Signup and view all the answers

What should be discontinued if L.monocytogenes has been identified?

<p>Dexamethasone (C)</p> Signup and view all the answers

When can dexamethasone and antibiotics be discontinued?

<p>If CSF parameters are consistent with viral meningitis and clinical suspicion for bacterial meningitis is low (C)</p> Signup and view all the answers

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