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Apr 5, 2023 · The treatment and outcome of bacterial meningitis in the neonate (age <1 month) will be discussed here. The clinical features, diagnosis, and complications of bacterial meningitis are discussed separately, as is bacterial meningitis in older children:
- Carol J Baker, MD
Bacterial meningitis in the neonate: Treatment and outcome....
- De Louvois J, Halket S, Harvey D. Neonatal Meningitis in England and Wales: Sequelae at 5 Years of Age. Eur J Pediatr 2005; 164:730
36 PubMed | TI Predicting the outcome of neonatal bacterial...
- Donnelly Pc, Sutich Rm, Easton R, Et Al. Ceftriaxone-Associated Biliary and Cardiopulmonary Adverse Events in Neonates: a Systematic Review of The Literature. Paediatr Drugs 2017; 19:21
Medline ® Abstract for Reference 10 of 'Bacterial meningitis...
- Deveikis A, Schauf V, Mizen M, Riff L. Antimicrobial Therapy of Experimental Group B Streptococcal Infection in Mice. Antimicrob Agents Chemother 1977; 11:817
Medline ® Abstract for Reference 17 of 'Bacterial meningitis...
- Carol J Baker, MD
Diagnosis is by lumbar puncture. Treatment is with antibiotics. (See also Overview of Meningitis in adults, Bacterial Meningitis in Infants Over 3 Months of Age, and Overview of Neonatal Infections.) Neonatal bacterial meningitis occurs in 2/10,000 full-term and 2/1,000 low-birth-weight (LBW) neonates, with a male predominance.
- Causes
- Risk Factors
- Symptoms
- Diagnosis
- Treatment
- Prevention
- Complications
- Prognosis
- A Word from Verywell
There are several types of infectious meningitis in babies, including bacterial, viral, and fungal infections. Bacterial meningitis is the most common type of meningitis in babies who are younger than 2 months old, and viral meningitis is more common among older babies. These infectious pathogens often cause mild symptoms of an upper respiratory in...
Meningitis is not as common as respiratory or gastrointestinal infections because the nervous system is less susceptible to infections due to the protective blood-brain barrier. However, babies are at an increased risk because they have a relatively less developed immune system than older children or adults. Young babies also have not received many...
Newborns, older babies, and young children up to age 2 do not have the same meningitis symptoms as older children or adults. Babies can have symptoms of meningitis that are the same as symptoms of any other illness and are not easy for new parents to recognize. Symptoms can include persistent crying, unusual irritability, or excessive sleeping. Bec...
You should get medical attention for your baby if you have any concerns about meningitis or any other serious infection. Your child’s healthcare professional will do a physical examination. This will include assessing their level of alertness, muscle tone, and response to sounds and visual stimuli. The fontanelles, which can be full or tense due to...
The treatment of meningitis in babies is focused on comfort and the prevention of long-term complications. Treatment is tailored to controlling symptoms and, in some cases, to treating the infectious pathogen. Supportive care to maintain nutrition and respiration (breathing) may be necessary in some cases. Treatment can include: Antimicrobial medic...
There are several measures that can help prevent meningitis in babies. Pregnant people may be screened for infections. If a baby is at risk due to a maternal infection, antibiotics may be given. If the infection is discovered before the baby is born, the mother may be treated,and possibly the baby as well. If the maternal infection is discovered af...
Meningitis can cause complications and lasting effects. This may happen if the infection becomes severe. Early treatment reduces the risk of complications, but sometimes the condition can progress even with prompt and comprehensive treatment. Complications of meningitis in babies can include: Hearing loss: Babies who recover from meningitis can hav...
The prognosis for meningitis depends on the cause and the severity of the infection. Usually, viral meningitis can resolve without complications or long-term problems. Bacterial and fungal meningitis are more likely to produce lasting side effects, although these can also fully resolve without complications. Generally, the sooner treatment is start...
Meningitis can affect people of all ages, but babies are more susceptible to infectious meningitis. While you can take steps to try to prevent your baby from getting meningitis, it is not possible to ensure that prevention will be 100% effective. If you are concerned about your baby’s symptoms, talk to their doctor or seek medical attention promptl...
Jul 6, 2023 · Objectives: Summarize the common etiologies of neonatal meningitis. Implement current recommendations, including lumbar puncture, for evaluating patients with neonatal meningitis. Select the recommended antimicrobial therapy in patients with neonatal meningitis.
- Lisa M. Bundy, Michael Rajnik, Asif Noor
- 2023/07/06
(See table Specific Therapy for Bacterial Meningitis in Infants Over 3 Months of Age Once Identification and Susceptibility Results Are Known.)
If meningitis is suspected, do lumbar puncture (unless contraindication exists) and give empiric antimicrobial therapy (and possibly dexamethasone) as soon as possible. Empiric antimicrobial therapy in infants > 3 months is with cefotaxime or ceftriaxone, plusvancomycin.
Oct 26, 2023 · Management of acute bacterial meningitis in infants and older children involves both supportive measures and appropriate antimicrobial therapy. All patients should have an audiologic...
