Meningitis

Infection Prevention and Control

Droplet / Contact Precautions

Until 24 hours of antimicrobial therapy

Exception: For infants < 1 month of age with no respiratory/enteric symptoms, no isolation is required

Empiric Antimicrobials*

PLUS

*Should be modified according to culture results when available.

Note

Corticosteroids are an option in children ≥ 4 weeks but this is still controversial.

Dexamethasone 0.15 mg/kg (max 10 mg/dose) IV q6h x 2 - 4 days.*

*Give 15 - 20 minutes before or with the dose of antibiotics.

Usual Duration

Minimum 10 to 14 days or longer if complicated