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Remember to check allergy status

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Paediatric Treatment - Meningitis

Prevention of secondary case of meningitis: Only prescribe following advice from Public Health Doctor: 9 am – 5 pm
Out of hours: Contact on-call doctor

Suspected meningococcal disease

PHE Meningo

Transfer all patients to hospital immediately.

If clinician has time before hospital admission, and non-blanching rash, give IV benzylpenicillin or IV cefotaxime. 1-3 B+ Do not give IV antibiotics if there is a definite history of anaphylaxis; rash is not a contraindication. 1 B-. Give IM if vein cannot be accessed.

Medicine Calendar

IV or IM benzylpenicillin

Age 10+ years: 1.2g
Children 1 - 9 yr: 600mg
Children <1 yr: 300mg

Stat dose; give IM if vein cannot be accessed

or IV or IM cefotaxime

Age 12+ years: 1g
Child < 12 yrs: 50mg/kg

Stat dose; give IM if vein cannot be accessed

The POCAST project is funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Healthcare Associated Infections and Antimicrobial Resistance at Imperial College London and by the Imperial College Healthcare Charity (Grant Ref No:7006/P36U).