Management of meningitis
Journal Title: Український неврологічний журнал - Year 2018, Vol 0, Issue 3
Abstract
In the last decades, epidemiology and strategy of managing patients with meningitis have changed significantly, however the problem of their early diagnosis and differentiation remains relevant. Bacterial meningitis is life‑threatening condition, which determines the expediency of prompt etiotropic treatment. Conversely, many types of aseptic meningitis do not require differential treatment, however, before the liquor examination, it is impossible to reliably establish the type of meningitis. The main task of the doctor at the pre‑hospital stage is to organize the early delivery of a patient with suspicion of meningitis to the hospital. At the hospital stage, a lumbar puncture should be performed immediately (in the absence of contraindications) and antibiotics of a broad spectrum of action should be prescribed. Investigations of other liquids takes precedence when it is impossible to collect or analyze liquor. It is recommended to change swiftly the antibiotic therapy with broad spectrum drugs to specific ones or to other etiotropic treatment, depending on the results of the study of liquor. In addition, dexamethasone should be administered. Vaccination, isolation and mechanical protection are effective for the prevention, chemoprophylaxis is carried out in exceptional cases. Treatment of other types of meningitis is etiotropic and symptomatic.
Authors and Affiliations
S. I. Genyk, S. M. Genyk, Ya. I. Genyk, V. A. Gryb, O. O. Doroshenko, L. T. Maksymchuk
Keywords
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- EP ID EP460529
- DOI 10.30978/UNJ2018-3-61
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