Purulent meningitis

Treatment. One of the most effective means are sulfa drugs and different antibiotics. For all kinds of purulent meningitis are shown lumbar puncture. Treatment with antibiotics and sulfa drugs should be carried out in accordance with the nature of the pathogen. At purulent meningitis in the acute period of use cortisone in doses of 100 to 150 mg per day, repeated blood transfusions (30 ml in infants, 40-60 ml in childhood, 150 - 250 ml for adults).
When meningitis caused by hemolytic Streptococcus and Staphylococcus, the best effect is achieved by the combination of penicillin, streptomycin, syntomycin and sulfa drugs. With pneumococcal M. the positive effect is achieved by the use of penicillin, streptomycin and sulfonamides; good effect at treatment of this form M in children intramuscular penicillin and streptomycin in combination with sulfa drugs and blood transfusions (P. C. Bogopolsky). When M is caused by the Bacillus of Pfeifer - Afanasyeva, positive effects of streptomycin and chloramphenical (analogue of chloramphenicol) in combination with sulfa drugs. When Pseudomonas meningitis effective treatment with streptomycin in combination with mitramitina and biomitsin and the use of a large number of vitamins b and C. When gonococcal M has a positive effect penicillin in combination with streptomycin.
With traumatic meningitis necessary, in addition to treatment with antibiotics and sulfa drugs, to carry out primary processing wounds to the skull and brain, if any, are not produced; in the development Meters in the later stages of traumatic disease of the necessary x-ray of the skull to the discovery of bone fragments and metallic foreign bodies that may be the cause of development of M Surgery with removal of foreign bodies from the brain, like emptying abscess of the brain in a number of cases of traumatic M, with the subsequent use of sulfa drugs can produce a successful result. In the presence of purulent in the bones of the skull (osteomyelitis), suppuration in the sinuses must first remove the source of sepsis, and then to treat purulent meningitis antibiotics and chemotherapy.
Prevention. Many cases of purulent meningitis associated with the presence of primary purulent (inflammation of the middle ear, tonsillitis, furuncles, carbuncles, and so on), so the timely liquidation of these foci warns secondary Meters In common infectious diseases, especially in children, metastatic M arise easier to have weakened. Therefore, the General strengthening mental and physical condition of the child is also an important event in the fight against secondary PM