Table of contents
Acute bacterial meningitis
What's new
Updated 2023 DGN guidelines for the diagnosis and management of acute bacterial meningitis.
Background
Overview
Guidelines
Key sources
Screening and diagnosis
Diagnostic investigations
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Blood cultures
Serum inflammatory markers
ENT evaluation
Neuropsychological evaluation
Diagnostic procedures
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CSF analysis
Medical management
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Antibiotic therapy (timing)
Antibiotic therapy (empiric antibiotics)
Antibiotic therapy (definitive antibiotics)
Antibiotic therapy (routes and duration)
Adjunctive corticosteroids
Other adjunctive treatments
Antiviral therapy
Management of sinus vein thrombosis
Management of ICP
Inpatient care
Therapeutic procedures
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External ventricular drainage
Surgical interventions
Specific circumstances
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Patients with CSF shunt infection (clinical presentation)
Patients with CSF shunt infection (evaluation)
Patients with CSF shunt infection (shunt removal)
Patients with CSF shunt infection (antibiotic therapy)
Patients with healthcare-associated ventriculitis and meningitis (clinical presentation)
Patients with healthcare-associated ventriculitis and meningitis (diagnostic imaging)
Patients with healthcare-associated ventriculitis and meningitis (CSF culture)
Patients with healthcare-associated ventriculitis and meningitis (CSF analysis)
Patients with healthcare-associated ventriculitis and meningitis (empiric antibiotic therapy)
Patients with healthcare-associated ventriculitis and meningitis (definitive antibiotic therapy, Staphylococcus)
Patients with healthcare-associated ventriculitis and meningitis (definitive antibiotic therapy, Pseudomonas)
Patients with healthcare-associated ventriculitis and meningitis (definitive antibiotic therapy, Acinetobacter)
Patients with healthcare-associated ventriculitis and meningitis (definitive antibiotic therapy, Propionibacterium)
Patients with healthcare-associated ventriculitis and meningitis (antifungal therapy)
Patients with healthcare-associated ventriculitis and meningitis (intraventricular antimicrobial therapy)
Preventative measures
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Pneumococcal immunization
Post-exposure prophylaxis
Follow-up and surveillance
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Rehabilitation
Surveillance for long-term sequelae (evaluation)
Surveillance for long-term sequelae (management of seizures)
Surveillance for long-term sequelae (cochlear implantation)