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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
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