Synonyms in a broader sense bacterial meningitis, hood meningitis, convexity meningitis, leptomeningitis, meningococcal meningitis Medical: Meningitis purulenta Definition The term purulent meningitis (purulent meninges) describes a purulent inflammation (-itis) of the meninges (meninges), which can be caused by various pathogens. The purulent meningitis (purulent meningitis) is usually caused by bacteria. It is accompanied by high … Purulent meningitis
CausesEstablishment The development of purulent meningitis can be traced back to three causes. Purulent meningitisThe most common is the spread of the pathogens with the bloodstream (hematogenic meningitis). This can be the case when a bacterial infection (e.g. of the nasopharynx (sniffles) or lungs (cough)) generalizes, i.e. the pathogens spread with the blood throughout the … CausesEstablishment | Purulent meningitis
Complications complications: Cerebral edema (swelling of the brain) with increase in intracranial pressure Waterhouse-Friedrichsen syndrome (10-15% of meningococcal sepsis cases) Hydrocephalus (= hydrocephalus, i.e. the water in the nerves cannot flow off and accumulates) due to inflammatory adhesions of the meninges Pus accumulation in the cavities of the brain where brain fluid is normally found … Complications | Purulent meningitis
Prognosis Since the development of penicillins, mortality from bacterial meningitis has been reduced from 80% to 20% (5-30%). Nevertheless, it has not changed significantly since then: Although antibiotic therapy has improved, overall mortality has not decreased as the age of the patients has increased. Unfavorable factors for the prognosis of bacterial meningitis are After the … Prognosis | Purulent meningitis
ProphylaxisDuty to report A patient with meningococcal infection should be isolated after initiation of antibiotic therapy, as meningocococci are easily transmitted by droplet infection and direct contact. After 24 hours no more infection should occur. During this time, hospital staff and visitors must observe certain hygiene measures, such as wearing protective gowns, nose and mouth … ProphylaxisDuty to report | Purulent meningitis
Synonyms in a broader sense Bacterial meningitis, hood meningitis, convexity meningitis, leptomeningitis, meningococcal meningitis, antibiotic Medical: Meningitis purulenta Definition The term purulent meningitis (purulent meninges) describes a purulent inflammation (-itis) of the meninges (meninges), which can be caused by various pathogens. The purulent meningitis (purulent meningitis) is usually caused by bacteria. It is accompanied by … 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 – … Therapy staphylococci (methicillin-sensitive) | Therapy of a purulent meningitis