Treatment FAQ

what is the prophylactic treatment for bacterial meningitis?

by Dr. Preston Brakus Sr. Published 2 years ago Updated 2 years ago
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Antibiotic Prophylaxis for Exposure to Meningococcal Disease
AntibioticAge rangeDosage and route
Adults600 mg orally every 12 hours
Ciprofloxacin† (Cipro)Adults500 mg orally
Ceftriaxone (Rocephin)Patients younger than 15 years125 mg intramuscularly
Patients 15 years and older250 mg intramuscularly
2 more rows
Nov 15, 2005

Medication

Self-care

Nutrition

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What is the prevention and the treatment for bacterial meningitis?

Vaccines are the most effective way to protect against certain types of bacterial meningitis. There are vaccines for 4 types of bacteria that can cause meningitis: Meningococcal vaccines help protect against N. meningitidis.

Who needs prophylaxis for meningitis?

According to the CDC, all children aged 11 to 12 should be vaccinated with one dose of a conjugate meningococcal vaccine. Since protection wanes, whose vaccinated before 16 years of age require a booster dose administered with an interval of a minimum of 8 weeks, preferably at the age of 16 to 18 years.

What is the prophylaxis for Neisseria meningitidis?

Postexposure Prophylaxis meningitidis in the source patient. Rifampin, ciprofloxacin, and ceftriaxone are 90%-95% effective in reducing nasopharyngeal carriage of N. meningitidis and are all acceptable antimicrobial agents for chemoprophylaxis.

What is the recommended prophylaxis after contact with patient with meningococcal meningitis?

Ceftriaxone may provide an effective alternative to rifampin for prophylaxis in people in close contact with patients with meningococcal meningitis. Oily chloramphenicol may be the drug of choice in areas with limited health facilities, because a single dose of the long-acting form has been shown to be effective.

How effective are prophylactic antibiotics?

Antibiotic prophylaxis is effective, but you should still watch for symptoms of infection after your procedure. These include fever as well as pain, tenderness, pus, or an abscess (pus-filled lump) near the surgical site. Untreated infections can lead to longer recovery times. In very rare cases, they can cause death.

What is Rifampicin used for prophylaxis?

Rifampin is the drug of choice for prophylaxis (preventing disease) of close contacts of patients with Meningococcal disease and H. influenzae infection. Rifampin is 90% effective at reducing these types of bacteria in the nose and throat, therefore preventing spread of these infections.

What is the drug of choice for the treatment of meningococcal disease?

A range of antibiotics is used to treat meningitis, including penicillin, ampicillin, and ceftriaxone. During epidemics of meningococcal and pneumococcal meningitis, ceftriaxone is the drug of choice.

Which is the first line antibiotic for meningococcal meningitis?

Ceftriaxone is a first-line antibiotic for empiric therapy of meningitis or sepsis while culture and susceptibility data are pending. Cefotaxime or ceftriaxone are the preferred agents for the treatment of confirmed meningococcal disease.

What antibiotics cover Neisseria meningitidis?

Meningococcal infections are usually treated with penicillin, ampicillin, or a combination of penicillin and chloramphenicol. Isolates of Neisseria meningitidis with increased levels of resistance to penicillin have been reported in the last few years, particularly from Spain and the United Kingdom (17, 20).

How can you prevent a meningitis outbreak?

CDC recommends vaccination with a serogroup B meningococcal (MenB) vaccine for anyone 10 years or older identified as being at increased risk. CDC recommends a booster shot for those at increased risk due to an outbreak who previously received the vaccine series.

What Is Bacterial Meningitis?

Acute bacterial meningitis is the most common form of meningitis. Approximately 80% of all cases are acute bacterial meningitis. Bacterial meningit...

Who Gets Bacterial Meningitis?

Children between the ages of 1 month and 2 years are the most susceptible to bacterial meningitis.Adults with certain risk factors are also suscept...

What Causes Bacterial Meningitis?

The bacteria most often responsible for bacterial meningitis are common in the environment and can also be found in your nose and respiratory syste...

What Are The Symptoms of Bacterial Meningitis?

You want to watch for high fever, headaches, and an inability to lower your chin to your chest due to stiffness in the neck.In older children and a...

Causes

Risk Factors

How It Spreads

Signs and Symptoms

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Mild infection recovers within 2 weeks. Medication and therapies are necessary for severe cases. Bacterial or fungal meningitis is frequently life-threatening and requires urgent diagnosis and treatment.
Medication

Antibiotics: Bacterial meningitis is treated with intravenous antibiotics.

Cefotaxime . Ceftriaxone


Antifungals: Used to treat fungal infections.

Clotrimazole . Econazole . Miconazole . Terbinafine


Antivirals: Antivirals can be prescribed by doctor

Amantadine . Rimantadine . Oseltamivir . Zanamivir


Corticosteroids: Corticosteroids are prescribed for non-infectious type of meningitis.

Prednisolone . Triamcinolone . Methylprednisolone

Self-care

Always talk to your provider before starting anything.

  • Rest
  • Increase fluid intake

Nutrition

  • No foods are known to prevent or change the clinical course of meningitis. If suspected, urgent medical attention is vital.

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Infectious Disease Specialist
Specializes in dealing with the diagnosis, control and treatment of infections.

Diagnosis

  • Several types of bacteria can cause meningitis. Leading causes in the United States include 1. Streptococcus pneumoniae 2. Group B Streptococcus 3. Neisseria meningitidis 4. Haemophilus influenzae 5. Listeria monocytogenes 6. Escherichia coli Mycobacterium tuberculosis, which ca…
See more on cdc.gov

Treatment

  • Certain factors increase a person’s risk for getting bacterial meningitis. These risk factors include: 1. Age: Babies are at increased risk for bacterial meningitis compared to people in other age groups. However, people of any age can develop bacterial meningitis. See section above for which bacteria more commonly affect which age groups. 2. Group setting: Infectious diseases tend to …
See more on cdc.gov

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