When should medications be initiated for the treatment of viral meningitis?

Updated: Jul 17, 2018
  • Author: Cordia Wan, MD; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

Waiting for LP results should not delay administration of antibiotics when warranted on clinical grounds. Broad-spectrum coverage is attained with ampicillin and a third-generation cephalosporin (ceftriaxone or cefotaxime; ceftazidime can also be used). Aminoglycosides are used in severe infections in neonates or children. Antituberculous, antifungal, and antiretroviral medications are reserved for clinically suggested or laboratory-confirmed cases.


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