Meningitis (bacterial) and meningococcal disease : recognition, diagnosis and management / National Institute for Health and Care Excellence.

Format:

Book

Author/Creator:

National Institute for Health and Care Excellence (Great Britain), author, issuing body.

Series:

National clinical practice guideline ; 240.

NICE guideline ; 240

Language:

English

Subjects (All):

Meningitis.

Physical Description:

1 online resource.

Other Title:

Meningitis

Place of Publication:

London : National Institute for Health and Care Excellence (NICE), 2024.

Summary:

This guideline covers recognising, diagnosing and managing bacterial meningitis and meningococcal disease in babies, children, young people and adults. It aims to reduce death and disability by helping healthcare professionals recognise meningitis and treat it quickly and effectively.

Contents:

Overview

Who is it for?

Recommendations.

1.1 Recognising bacterial meningitis and meningococcal disease

1.2 Transfer to hospital and antibiotics before arrival at hospital.

1.3 Information and support for people with suspected bacterial meningitis or meningococcal disease

1.4 Investigating suspected bacterial meningitis in hospital.

1.5 Investigating suspected meningococcal disease in hospital

1.6 Antibiotics for bacterial meningitis in hospital

1.7 Antibiotics for meningococcal disease in hospital

1.8 Corticosteroids for bacterial meningitis and meningococcal disease

1.9 Fluid restriction, osmotic agents and intracranial pressure monitoring for confirmed bacterial meningitis

1.10 Assessing for immunodeficiency and recurrence risk in people with bacterial meningitis or meningococcal disease

1.11 Information and support after diagnosis.

1.12 Preparing for hospital discharge

1.13 Care after hospital discharge

1.14 Recurrent bacterial meningitis and meningococcal disease

Terms used in this guideline

1 Long-term outcomes of bacterial meningitis.

2 Novel diagnostic techniques applied to blood or cerebrospinal fluid

3 Duration of antibiotic treatment for meningitis caused by Enterobacterales (coliforms)

4 Intracranial pressure monitoring.

5 Corticosteroids for newborn babies with bacterial meningitis

Rationale and impact

Recognising bacterial meningitis and meningococcal disease

When to suspect bacterial meningitis.

When to suspect meningococcal disease

Safety netting and alternative causes

Transfer to hospital and antibiotics before arrival at hospital

Information and support for people with suspected bacterial meningitis or meningococcal disease

Timing of investigations and antibiotics for bacterial meningitis

Bacterial throat swabs and blood tests for bacterial meningitis

Neuroimaging

Lumbar puncture

Cerebrospinal fluid investigations

Investigating suspected meningococcal disease in hospital

Antibiotics for bacterial meningitis in hospital

Antibiotics for bacterial meningitis in hospital, when the causative organism is known

Antibiotic allergy with bacterial meningitis

Antibiotics for meningococcal disease in hospital.

Corticosteroids for bacterial meningitis and meningococcal disease

Fluid restriction, osmotic agents and intracranial pressure monitoring for confirmed bacterial meningitis.

Assessing for immunodeficiency and recurrence risk in people with bacterial meningitis or meningococcal disease

Information and support after diagnosis

Identifying and managing complications

Planning for care after discharge

Care after hospital discharge.

Recurrent bacterial meningitis and meningococcal disease.

Notes:

Description based on publisher supplied metadata and other sources.