Diagnosis and Management of Bacterial Meningitis

Bacterial meningitis. Some aspects of diagnosis and treatment.

“…It is important then to keep under review old and new methods of treatment and newer aids to diagnosis if this hard core of death and disability is to be reversed. We shall concentrate mainly, though not exclusively, on diagnosis and management of bacterial meningitis, and refer readers elsewhere for a wider discussion of other aspects (Hambleton and Davies, 1974).…”

“…Though their findings have been disputed on technical grounds (Mpairwe, 1972), others have cited similar evidence (Norden, Callerame, and Baum, 1970). Type b strains of H. influenzae have virtually all been sentsitive to ampicillin in the past, but ampicillin-resistant isolates have now been reported from various parts of the world including the United Kingdom Schiffer et al, 1974;Thomsberry and Kirven, 1974;Clymo and Harper, 1974;Turk, 1974;Williams and Cavanagh, 1974;Schulte and Vollrath, 1974 Many sources have been consulted in compiling this data and are referrred to in full in Hambleton and Davies (1974). Erythromycin: the intramuscular preparation is very irritant and should be avoided whenever possible.…”