Bacterial Meningitis Post-PCV7: Declining Incidence And Treatment
Kowalsky RH, Jaffe DM. Pediatr Emerg Care. 2013;29(6):758-766
Key Points:
Streptococcal species MUCH less commonly produce meningitis post vaccine
Kids with suspected meningitis < 30 days use: Ampicillin and cefotaxime
Kids with suspected meningitis > 30 days use: Vancomycin plus a 3rd generation cephalosporin
Steroids an option if Streptococcal suspected
PMID: 23736074
