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Management algorithm for adults with suspected bacterial meningitis

Management algorithm for adults with suspected bacterial meningitis
"STAT" indicates that the intervention should be done emergently.
CNS: central nervous system; CSF: cerebrospinal fluid; CT: computed tomography.
* Refer to UpToDate topic review on dexamethasone to prevent neurologic complications of bacterial meningitis in adults for specific recommendations.
¶ Refer to UpToDate table on recommendations for empiric antimicrobial therapy for purulent meningitis based on patient age and specific predisposing condition.
Δ Administer dexamethasone and antibiotic therapy immediately after CSF is obtained.
Refer to UpToDate table on recommendations for antimicrobial therapy in adults with presumptive pathogen identification by positive Gram stain.
§ If the diagnosis of bacterial meningitis is likely.
Modified with permission from: Tunkel AR, Hartman BJ, Kaplan SL, et al. Practice guidelines for the management of bacterial meningitis. Clin Infect Dis 2004; 39:1267. Copyright © 2004 University of Chicago Press.
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