Regarding pediatric meningitis empirical treatment( generally not in the same case in particular )
Could we use cefepime instead of ceftriaxone ?
,linzolid if there’s sensitivity to vancomycin or vancomycinnot available?
Hossam Elgnainy Selected answer as best March 22, 2024
empiric antibiotic choice based on age and risk factors with modification if Gram stain positive.
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Cefepime can be used in certain scenarios of meningitis, for example, IDSA recommend vancomycin plus antipseudomonal beta-lactam (cefepime, ceftazidime, or meropenem) as an option for healthcare-associated ventriculitis and meningitis, including CSF shunt.
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Linezolid is a very suitable alternative for MRSA meningitis and other gram positive organisms according to the IDSA guidelines.
Hossam Elgnainy Selected answer as best March 22, 2024
