what is empirical abx in meningitis for child with vancomycine allergic ,can ceftriaxone used alone
Hossam Elgnainy Selected answer as best March 1, 2024
First, vancomycin allergy is rara and the commen scenario is red man syndrome which can be avoided by slow infusion second, a new study mentioned daptomycin as alternative but we need further clinical trials to be considered
Link of the study
https://pubmed.ncbi.nlm.nih.gov/36870402/#:~:text=Conclusions%3A%20Daptomycin%20has%20potential%20to,for%20the%20management%20of%20meningitis
Hossam Elgnainy Selected answer as best March 1, 2024
Third, vancomycin added due to the high incediance of resistant s.pneumonia so if the gram stain exclude this microorganism, no need to use vancomycin
Shimaa Sayed Answered question March 1, 2024