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
Related Articles
- EP ID EP460529
- DOI 10.30978/UNJ2018-3-61
- Views 112
- Downloads 0
Clinical features and complex treatment of vertebral thoracalgia with neurodystrophic signs
Objective — to identify the clinical features of vertebral thoracalgia (VT) with neurodystrophic signs and to increase the effectiveness of their complex treatment using manual therapy and kinesiotherapy. Methods and su...
Mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes: modern views on the problem
The article discusses the main aspects of the etiology of mitochondrial disorders, where the key factor is mutations in mitochondrial and nuclear DNA. The most common variants of mutations that cause the development of t...
Serum tau protein level in patients with long-term consequences of the mild brain traumatic injury
Objective — to study the content of tau protein in blood serum of the patients with long‑term consequences of the mild brain traumatic injury. Methods and subjects. We examined 47 patients aged 22 — 53 years with long‑t...
Hyperglycosylated immunoglobulins of blood serum of patients with multiple sclerosis as a diagnostic and prognostic biomarker for this disease
Objective — to investigate the patterns of detection of hyperglycosylated immunoglobulins (Igs) in blood serum of patients with multiple sclerosis (MS) and to identify clinical features of this disease. Methods and subj...
Pаthоlоgenic changes in the brain of mice while modeling of ischemia with an associated viral infection
Objective — to investigate structural changes in the brain cortex of mice exposed to fat diet, herpes infection and ischemia. Methods and subjects. We had 194 mice (Balb/c) for the experiment, distributed into 7 groups...