Management algorithm for adults with suspected bacterial meningitis
Management algorithm for adults with suspected bacterial meningitis
"STAT" indicates that the intervention should be done emergently.
CNS: central nervous system; CSF: cerebrospinal fluid; CT: computed tomography. * Refer to UpToDate topic review on dexamethasone to prevent neurologic complications of bacterial meningitis in adults for specific recommendations. ¶ Refer to UpToDate table on recommendations for empiric antimicrobial therapy for purulent meningitis based on patient age and specific predisposing condition. Δ Administer dexamethasone and antibiotic therapy immediately after CSF is obtained. ◊ Refer to UpToDate table on recommendations for antimicrobial therapy in adults with presumptive pathogen identification by positive Gram stain. § If the diagnosis of bacterial meningitis is likely.