TB, fungal pathogens, and other uncommon pathogens not treated by this regimen. If these are suspected, consult Pediatric Infectious Diseases.
Narrow therapy based on susceptibilities
Dexamethasone 0.6 mg/kg/day IV divided q6h for 2 days
GIVE FIRST OR CONCOMITANT WITH ANTIBIOTICS
Continue only if S. pneumoniae or H. influenzae confirmed; if other etiology confirmed, discontinue
AND
AND
CONSIDER
If complicated meningitis (abscess, thrombosis, ventriculitis) please consult Pediatric Infectious Diseases