بِسْمِ اللَّـهِ الرَّحْمَـٰنِ الرَّحِيمِ الَّذِي خَلَقَنِي فَهُوَ يَهْدِينِ وَالَّذِي هُوَ يُطْعِمُنِي وَيَسْقِينِ وَإِذَا مَرِضْتُ فَهُوَ يَشْفِينِ
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what is empirical abx in meningitis for child with vancomycine allergic ,can ceftriaxone used alone

Hossam Elgnainy Selected answer as best March 1, 2024
1

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
0

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