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Antibiotics and steroids are ideally administered within the first 30 minutes after admission when bacterial meningitis is suspected, and are not available during this period of time in some jurisdictions. The following guidelines are offered to reduce the likelihood of antibiotic use in an individual with a low risk of bacterial meningitis. In addition, those persons who are taking, or who have given, an antibiotic are at high risk of infection. In the first 72 hours after admission, persons with a prior history of bacterial meningitis should receive antibiotics immediately while a clinical pathologist assesses the bacterial meningitis. In order to delay the clinical course of bacterial meningitis while antibiotic therapy is administered, this is best achieved at a time when the bacteria are less inflamed and not under active defense and is at a time when an antimicrobial is not being taken. The time this can be achieved depends on the nature of the bacterial outbreak and the person's susceptibility. If a person with a prior history of bacterial meningitis receives antimicrobial therapy sooner, they may develop a more severe and advanced disease. In general, the sooner antibiotic medication is administered, the shorter the length of time that the person's life will be reduced or if a life-threatening complication occurs. When the infection control officer has concerns that antibiotic use may adversely affect the risk of bacterial meningitis, antibiotic prescribing should be reviewed at least twice a day (2 to 3 times on the same day), with appropriate follow-up within 48 hours. There are several advantages to rapid antibiotic administration. The antibiotics are delivered to the intestinal area where bacteria are very concentrated and the resulting inflammation is usually less severe than the inflammation of a single site. The increased flow of nutrients is likely the most important reason for this rapid absorption. After therapy has been administered, there is a high probability that an antibacterial may be required for the remaining period of the course of bacterial meningitis. If a patient has a recurrence of bacterial meningitis, the first step in treatment may be to administer additional immunosuppressive medication to prevent further damage to the underlying tissue, as well as antibiotics to reduce the risk that the bacteria will survive the antibiotic therapy. Recommended treatment for bacterial meningitis consists of the use of: antibiotic adjuvants or immunomodulators antibiotic prophylaxis immunosuppressive drugs for the following: infected mucosa insects filaria crotal skin, particularly in women cervical sphincter Related Article:
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