Meningitis

Suspected meningococcal disease

Transfer all patients to hospital immediately

Contact Public Health England Acute Response Centre – 0300 3038162

If time before hospital admission, and there is non-blanching rash, give IV benzylpenicillin or cefotaxime, unless definite history of hypersensitivity. Ideally IV but IM if vein cannot be found.

Benzylpenicillin (IV or IM)
  • Age 10+ years: 1200 mg
  • Children 1 - 9 years: 600 mg
  • Children under 1 year: 300 mg

or

Cefotaxime (IV or IM)
  • Age 12+ years: 1 gram
  • Child under 12 years: 50mg/kg

Prevention of secondary case of meningitis

Only prescribe following advice from Public Health Practitioner

  • 9 am – 5 pm or Out of Hours: 0344 3038162

 

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