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Meningococcal Disease Treatment and Prevention

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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?

Purpura fulminans Signup and view all the answers

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

To provide a presumptive microbiological diagnosis Signup and view all the answers

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

5-7 days Signup and view all the answers

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

Due to potential interactions with the oral contraceptive pill Signup and view all the answers

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

Until 24 hours of antibiotic therapy has been given Signup and view all the answers

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

Ceftriaxone Signup and view all the answers

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

To initiate contact tracing Signup and view all the answers

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

When conﬁrmed meningococcal meningitis Signup and view all the answers

When should clearance antibiotics be initiated for the index case?

As soon as possible, ideally on the day of diagnosis Signup and view all the answers

Why is serotyping of the infecting organism important?

To recommend vaccination for close contacts Signup and view all the answers

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

Benzylpenicillin IV Signup and view all the answers

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

At least 21 days Signup and view all the answers

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

Dexamethasone Signup and view all the answers

When can dexamethasone and antibiotics be discontinued?

If CSF parameters are consistent with viral meningitis and clinical suspicion for bacterial meningitis is low Signup and view all the answers