17 Questions
What is the treatment for pneumococcal meningitis in patients infected with ceftriaxone-susceptible strains?
Discontinuation of vancomycin and treatment with 2 g ceftriaxone IV every 12 h
What is the purpose of seeking predisposing conditions in adults with pneumococcal meningitis?
To manage the underlying conditions in conjunction with otorhinolaryngology
What is the recommended duration of IV therapy for pneumococcal meningitis?
10-14 days
What is the complication of meningococcal disease that may require debridement or amputation?
Purpura fulminans
What is the purpose of Gram stain or PCR in the diagnosis of meningitis?
To provide a presumptive microbiological diagnosis
What is the recommended duration of antibiotic therapy for meningococcal meningitis according to most guidelines?
5-7 days
Why should rifampicin be avoided in women taking the oral contraceptive pill?
Due to potential interactions with the oral contraceptive pill
When should patients with meningococcal disease be placed in droplet precautions?
Until 24 hours of antibiotic therapy has been given
What is the preferred option for clearance antibiotics in pregnant women?
Ceftriaxone
What is the purpose of notifying public health authorities in cases of suspected or confirmed meningococcal disease?
To initiate contact tracing
In what situation can dexamethasone be stopped in patients with meningococcal disease?
When confirmed meningococcal meningitis
When should clearance antibiotics be initiated for the index case?
As soon as possible, ideally on the day of diagnosis
Why is serotyping of the infecting organism important?
To recommend vaccination for close contacts
What is the treatment of choice for meningitis caused by Listeria monocytogenes?
Benzylpenicillin IV
What is the recommended duration of IV antibiotics for meningitis caused by L.monocytogenes?
At least 21 days
What should be discontinued if L.monocytogenes has been identified?
Dexamethasone
When can dexamethasone and antibiotics be discontinued?
If CSF parameters are consistent with viral meningitis and clinical suspicion for bacterial meningitis is low
Quiz about the treatment and prevention of meningococcal disease, including the use of antibiotics and vaccination for close contacts. Learn about the recommended protocols for index cases and those who have been exposed. Test your knowledge on this important public health topic.
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