Therapy staphylococci (methicillin-sensitive) | Therapy of a purulent meningitis

Therapy staphylococci (methicillin-sensitive)

Flucloxacillin | 4 – 6x/day 2 g i. v. alternatively Vancomycin | 2g/day i. v. (every 6 – 12 hours 0.5 – 1 g) or Fosfomycin | 3x/day 5 g i. v. or Rifampicin | 1x/day 10 mg/kg i. v. , max. 600/750 mg or Cefazolin | 3 – 4x/day 2 – 3 g i. v. (max. 12 g/day)

Therapy staphylococci (methicillin-resistant)

Vancomycin | 2g/day i. v. (every 6 – 12 h 0.5 – 1 g) or Rifampicin | 1x/day 10 mg/kg i. v. , max. 600/750 mg or Trimethoprim-Sulfamethoxazol | or Fosfomycin | 3x/day 5 g i. v.

Therapy Pseudomonas aeruginosa

Ceftazidim plus aminoglycoside | 3x/day 2 g i. v. or Meropenem plus aminoglycoside | 3x/day 2 g i. v. or Cefepim plus aminoglycoside | 3x/day 2 g i. v. or Ciprofloxacin | 3x/day 400 mg i. v.

Therapy Anaerobics

Metronidazole | 2 – 4x/day 500 mg (max. 2 g/day) Meropenem | 3x/day 2 g i. v.

Therapy Group B Streptococci

Penicillin G plus gentamycin | 4x/day 6-10 Mega 1x/day 360 mg i. v. or Ampicillin plus gentamycin | 3x/day 5 g i. v. 1x/day 360 mg i. v. or Ceftriaxone plus gentamycin | 3x/day 2 g i. v. 1x/day 360 mg i. v. or Vancomycin | 2g day i. v. (every 6 – 12 h 0.5 – 1 g)

Therapy Gram-negative intestinal bacteria

Ceftriaxone plus aminoglycoside | 3x/day 2 g IV Meropenem plus aminoglycoside | 3x/day 2 g IV

Source reference

The sources used included Poeck/Hacke: Neurology, 12th edition, 2006. Despite all care taken before publishing a topic, we cannot assume any liability for the information provided.

All articles in this series:

  1. Therapy of a purulent meningitis
  2. Therapy staphylococci (methicillin-sensitive)