Speciality Medical Dialogues
    • facebook
    • twitter
    Login Register
    • facebook
    • twitter
    Login Register
    • Medical Dialogues
    • Education Dialogues
    • Business Dialogues
    • Medical Jobs
    • Medical Matrimony
    • MD Brand Connect
    Speciality Medical Dialogues
    • Editorial
    • News
        • Anesthesiology
        • Cancer
        • Cardiac Sciences
        • Critical Care
        • Dentistry
        • Dermatology
        • Diabetes and Endo
        • Diagnostics
        • ENT
        • Featured Research
        • Gastroenterology
        • Geriatrics
        • Medicine
        • Nephrology
        • Neurosciences
        • Nursing
        • Obs and Gynae
        • Ophthalmology
        • Orthopaedics
        • Paediatrics
        • Parmedics
        • Pharmacy
        • Psychiatry
        • Pulmonology
        • Radiology
        • Surgery
        • Urology
    • Practice Guidelines
        • Anesthesiology Guidelines
        • Cancer Guidelines
        • Cardiac Sciences Guidelines
        • Critical Care Guidelines
        • Dentistry Guidelines
        • Dermatology Guidelines
        • Diabetes and Endo Guidelines
        • Diagnostics Guidelines
        • ENT Guidelines
        • Featured Practice Guidelines
        • Gastroenterology Guidelines
        • Geriatrics Guidelines
        • Medicine Guidelines
        • Nephrology Guidelines
        • Neurosciences Guidelines
        • Obs and Gynae Guidelines
        • Ophthalmology Guidelines
        • Orthopaedics Guidelines
        • Paediatrics Guidelines
        • Psychiatry Guidelines
        • Pulmonology Guidelines
        • Radiology Guidelines
        • Surgery Guidelines
        • Urology Guidelines
    LoginRegister
    Speciality Medical Dialogues
    LoginRegister
    • Home
    • Editorial
    • News
      • Anesthesiology
      • Cancer
      • Cardiac Sciences
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endo
      • Diagnostics
      • ENT
      • Featured Research
      • Gastroenterology
      • Geriatrics
      • Medicine
      • Nephrology
      • Neurosciences
      • Nursing
      • Obs and Gynae
      • Ophthalmology
      • Orthopaedics
      • Paediatrics
      • Parmedics
      • Pharmacy
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
    • Practice Guidelines
      • Anesthesiology Guidelines
      • Cancer Guidelines
      • Cardiac Sciences Guidelines
      • Critical Care Guidelines
      • Dentistry Guidelines
      • Dermatology Guidelines
      • Diabetes and Endo Guidelines
      • Diagnostics Guidelines
      • ENT Guidelines
      • Featured Practice Guidelines
      • Gastroenterology Guidelines
      • Geriatrics Guidelines
      • Medicine Guidelines
      • Nephrology Guidelines
      • Neurosciences Guidelines
      • Obs and Gynae Guidelines
      • Ophthalmology Guidelines
      • Orthopaedics Guidelines
      • Paediatrics Guidelines
      • Psychiatry Guidelines
      • Pulmonology Guidelines
      • Radiology Guidelines
      • Surgery Guidelines
      • Urology Guidelines
    • Home
    • Practice Guidelines
    • Medicine Guidelines
    • Antibiotic Guideline...

    Antibiotic Guideline for Central Nervous System Infections

    Written by supriya kashyap kashyap Published On 2016-10-02T13:54:39+05:30  |  Updated On 2 Oct 2016 1:54 PM IST
    Antibiotic Guideline for Central Nervous System Infections

    In 2016 National Centre For Disease Control, Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India came out with National Treatment Guidelines for Antimicrobial Use in Infectious Diseases.



    Following are major recommendation


    Central Nervous System Infections:









































    ConditionLikely Causative OrganismsEmpiric antibiotics (presumptive antibiotics)Alternative antibioticsComments
    Acute bacterial MeningitisS. pneumoniae, H.influenzae, Neisseria meningititidisCeftriaxone 2 g IV 12hourly/ Cefotaxime 2 g IV 4-6hourly

    10-14 days treatment
    Chloramphenicol if patient is allergic to penicillinAntibiotics should be started as soon as the possibility of bacterial meningitis becomes evident, ideally within 30 minutes. Do not wait for CT scan or LP results. No need to add vancomycin as primary agent, as ceftriaxone resistant Pneumococcus is not common in India. Listeria is also rare in India and so ampicillin is also not indicated Adjust therapy once pathogen and susceptibilities are known.
    Meningitis-Postneurosurgeryor Penetratinghead traumaStaphylococcus epidermidis, Staphylococcus aureus, Propionibacterium acnes, Pseudomonas aeruginosa, Acinetobacter baumaniiMeropenem 2gm IV 8 hourly AND Vancomycin 15mg/kg IV 8 hourly

    For 14 days.
    May need intra ventricular therapy in severe cases
    Meningitis with basilar skull fracturesS.pneumoniae,

    H. influenzae
    Ceftriaxone 2gm IV 12 hourly

    For 14 days
    Dexamethasone 0.15mg/kg IV 6 hourlyfor 2-4days (1st dose with or before first antibiotic dose)
    Brain abscess, Subdural empyemaStreptococci, Bacteroides, Enterobacteria-ceae, S.aureusCeftriaxone 2 gm IV 12hourly

    or

    Cefotaxime 2 gm IV 4-6hourly

    AND

    Metronidazole 1 gm IV 12hourly

    Duration of treatment to be decided by clinical & radiological response, minimum two months required.
    Meropenem 2gm IV 8hourlyExclude TB, Nocardia, Aspergillus, Mucor

    If abscess <2.5cm & patient neurologically stable, await response to antibiotics.

    Otherwise, consider aspiration/surgical drainageand modify antibiotics as per sensitivity of aspirated/drained secretions.

    You can read the full Guideline by clicking on the following link :

    http://www.ncdc.gov.in/writereaddata/linkimages/AMR_guideline7001495889.pdf
    Central Nervous System InfectionsDirectorate General of health servicesGovernment of Indiainfectious diseaseMinistry of Health &amp; Family WelfareNational Centre For Disease

    Disclaimer: This site is primarily intended for healthcare professionals. Any content/information on this website does not replace the advice of medical and/or health professionals and should not be construed as medical/diagnostic advice/endorsement or prescription. Use of this site is subject to our terms of use, privacy policy, advertisement policy. © 2020 Minerva Medical Treatment Pvt Ltd

    supriya kashyap kashyap
    supriya kashyap kashyap
      Show Full Article
      Next Story
      Similar Posts
      NO DATA FOUND

      • Email: info@medicaldialogues.in
      • Phone: 011 - 4372 0751

      Website Last Updated On : 12 Oct 2022 7:06 AM GMT
      Company
      • About Us
      • Contact Us
      • Our Team
      • Reach our Editor
      • Feedback
      • Submit Article
      Ads & Legal
      • Advertise
      • Advertise Policy
      • Terms and Conditions
      • Privacy Policy
      • Editorial Policy
      • Comments Policy
      • Disclamier
      Medical Dialogues is health news portal designed to update medical and healthcare professionals but does not limit/block other interested parties from accessing our general health content. The health content on Medical Dialogues and its subdomains is created and/or edited by our expert team, that includes doctors, healthcare researchers and scientific writers, who review all medical information to keep them in line with the latest evidence-based medical information and accepted health guidelines by established medical organisations of the world.

      Any content/information on this website does not replace the advice of medical and/or health professionals and should not be construed as medical/diagnostic advice/endorsement or prescription.Use of this site is subject to our terms of use, privacy policy, advertisement policy. You can check out disclaimers here. © 2025 Minerva Medical Treatment Pvt Ltd

      © 2025 - Medical Dialogues. All Rights Reserved.
      Powered By: Hocalwire
      X
      We use cookies for analytics, advertising and to improve our site. You agree to our use of cookies by continuing to use our site. To know more, see our Cookie Policy and Cookie Settings.Ok