Which medications are used in initial empiric therapy of meningococcal meningitis?

Updated: Jul 16, 2018
  • Author: Francisco de Assis Aquino Gondim, MD, PhD, MSc, FAAN; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

Initial empiric therapy until the etiology of the meningitis is established should include the following agents:

  • Dexamethasone

  • A third-generation cephalosporin - Eg, ceftriaxone or cefotaxime

  • Vancomycin

  • Acyclovir - Should be considered according to the results of the initial CSF evaluation

  • Doxycycline - Should also be added during tick season in endemic areas


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