What is the role of medication in the treatment of Haemophilus influenzae type b (Hib) meningitis?

Updated: Jul 09, 2018
  • Author: Prateek Lohia, MD, MHA; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

The most critical aspect of initial treatment of meningitis is prompt initiation of antimicrobial therapy, because any delay in treatment is associated with increased morbidity and mortality. Anti-inflammatory therapy remains controversial, but dexamethasone may help prevent hearing loss. When necessary, increased intracranial pressure (ICP) can be treated with mannitol. Vaccination may help in the prevention of Haemophilus meningitis. Patients may require care for the management of deficits resulting from Hib meningitis, including static encephalopathy, seizures, behavioral changes, or epilepsy.


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