Meningitis: pathogens, tests, course of treatment

Meningitis: pathogens, tests, course of treatment

Infectious inflammation of the membranes of the brain is called meningitis. This disease is viral, bacterial, fungal. With meningitis, there is a constant headache, vomiting, nausea, fever, tachycardia, malaise, meningeal syndrome. The development of this disease may be the result of an upper respiratory tract infection.

Meningitis: pathogens, tests, course of treatment

The causative agents of purulent meningitis are bacteria (pneumococcus, Haemophilus influenzae, meningococcus), which penetrate into the central nervous system by hematogenous or contact routes. It is mainly caused by Haemophilus influenzae in children under the age of six, but also occurs in older children due to predisposing factors. If you have the slightest suspicion of the formation of purulent meningitis, you should immediately consult a doctor and perform a lumbar puncture. If it cannot be done, then a bacteriological blood test is prescribed, after which antibiotic therapy is started. To identify the causative agent of the disease, it is necessary to conduct a bacteriological examination of the cerebrospinal fluid. During the examination, it is necessary to establish whether there are any other foci of infection.

After a sample of blood and CSF is taken to conduct a bacterial study, the attending physician prescribes antibiotics. Before the results of bacteriological research are known, it is necessary to carry out empirical antibiotic therapy. For the treatment of this disease in newborns, it is necessary to carry out a combination of treatment with ampicillin and cefotaxime. After the results of the bacteriological study are known, it is possible to change the preparations, taking into account the sensitivity of a certain disease stamp and the clinical effect. It is recommended to administer all drugs only intravenously. In mild stages of the disease, intramuscular treatment is allowed.

Meningitis: pathogens, tests, course of treatment

During the first two days of treatment, a positive effect is observed and body temperature normalizes. After the body temperature is normal for two weeks, it is necessary to carry out antibiotic therapy. With parameningeal infection, the course of treatment should be increased to three to four weeks.

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