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Meningitis - gram-negative - Treatment

Alternative Names

Gram-negative meningitis

Treatment:

Treatment with antibiotics should be started as soon as possible. Ceftazidime or Cefepime is one of the most commonly used antibiotics for this type of meningitis, but other antibiotics may be used, depending on the type of bacteria.

If you have a shunt, it may be removed to get rid of the infection.

Expectations (prognosis):

Early treatment improves the outcome. Between 40% and 80% of patients with Gram-negative meningitis do not survive. Young children and adults over age 50 have the highest risk of death.

Many people recover completely, but a large number of people have permanent brain damage or die from this type of meningitis. The likelihood of survival depends on:

  • How quickly the infection is treated
  • Other medical conditions that may be present
  • The patient's age

Complications:

Calling your health care provider:

Call the local emergency number (such as 911) or go to an emergency room if you suspect meningitis in a young child who has the following symptoms:

  • Feeding problems
  • High-pitched cry
  • Irritability
  • Persistent unexplained fever

Call the local emergency number if you develop any of the serious symptoms listed above. Meningitis can quickly become a life-threatening illness.

  • Reviewed last on: 9/15/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Jatin M. Vyas, PhD, MD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Swartz MN. Meningitis: bacterial, viral, and other. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 437.

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