Initial Responses
Tamar Gaillard
Hello Tamar. Thanks for your presentation on meningococcal meningitis. Antibiotic treatment for
meningococcal meningitis has been approved and used by many doctors. If the providers suspect
meningococcal meningitis, the treatment should start immediately to help reduce the risk of
dying from the disease. Ideally, after carrying out the lumbar puncture (usually done as soon as
possible), the treatment should begin. However, if the treatment is started before carrying out the
lumbar puncture, growing the bacteria from the spinal fluid and confirming the diagnosis would
be difficult (Pickering et al., 2009). Currently, ceftriaxone or cefotaxime is a third-generation
cephalosporin drug used for the treatment of meningococcal meningitis. However, penicillin,
ampicillin, fluoroquinolone, chloramphenicol, and aztreonam are some of the approved drug
alternatives according to the Infectious Diseases Society America (IDSA) guidelines (Salazar &
Hasbun 2017). The disease symptoms might appear quickly or develop over several days,
typically within 3 to 7 days after exposure. Since the prevalence of meningitis is higher among
populations with lower levels of education, capacity building through patient education is
important in controlling the disease's spread.
My answers to the assessment questions are as follows.
1. A
2. A
3. C
4. B
5. B
References
Salazar, L., & Hasbun, R. (2017). Cranial Imaging Before Lumbar Puncture in Adults with
Community-Acquired Meningitis: Clinical Utility and Adherence to The Infectious
Diseases Society of America Guidelines. Clinical Infectious Diseases, 64(12), 1657-
1662.
Pickering, L. K., Baker, C. J., Freed, G. L., Gall, S. A., Grogg, S. E., Poland, G. A., ... &
Zimmerman, R. K. (2009). Immunization programs for infants, children, adolescents, and
adults: clinical practice guidelines by the Infectious Diseases Society of
America. Clinical Infectious Diseases, 49(6), 817-840.
Allison Schultz
Hello Allison.
Thanks for your informative presentation. Research indicates that acute otitis media is one of the
most common pediatric bacterial infections that affects about 75 percent of children up to 5 years
of age (Forgie et al., 2009). Haemophilus influenza and Streptococcus pneumoniae are
responsible for about 80 percent of bacterial acute otitis media in children (Liese et al., 2014).
Therefore, your case study was an appropriate learning point from the population with the
highest prevalence of otitis media. Children with acute otitis media should be treated with
This study source was downloaded by 100000829957125 from CourseHero.com on 01-29-2022 11:41:21 GMT -06:00
https://www.coursehero.com/file/78741807/NR565-Week-6-Grand-Rounds-Presentation-Part-2-Responses-Keithadocx/
Tamar Gaillard
Hello Tamar. Thanks for your presentation on meningococcal meningitis. Antibiotic treatment for
meningococcal meningitis has been approved and used by many doctors. If the providers suspect
meningococcal meningitis, the treatment should start immediately to help reduce the risk of
dying from the disease. Ideally, after carrying out the lumbar puncture (usually done as soon as
possible), the treatment should begin. However, if the treatment is started before carrying out the
lumbar puncture, growing the bacteria from the spinal fluid and confirming the diagnosis would
be difficult (Pickering et al., 2009). Currently, ceftriaxone or cefotaxime is a third-generation
cephalosporin drug used for the treatment of meningococcal meningitis. However, penicillin,
ampicillin, fluoroquinolone, chloramphenicol, and aztreonam are some of the approved drug
alternatives according to the Infectious Diseases Society America (IDSA) guidelines (Salazar &
Hasbun 2017). The disease symptoms might appear quickly or develop over several days,
typically within 3 to 7 days after exposure. Since the prevalence of meningitis is higher among
populations with lower levels of education, capacity building through patient education is
important in controlling the disease's spread.
My answers to the assessment questions are as follows.
1. A
2. A
3. C
4. B
5. B
References
Salazar, L., & Hasbun, R. (2017). Cranial Imaging Before Lumbar Puncture in Adults with
Community-Acquired Meningitis: Clinical Utility and Adherence to The Infectious
Diseases Society of America Guidelines. Clinical Infectious Diseases, 64(12), 1657-
1662.
Pickering, L. K., Baker, C. J., Freed, G. L., Gall, S. A., Grogg, S. E., Poland, G. A., ... &
Zimmerman, R. K. (2009). Immunization programs for infants, children, adolescents, and
adults: clinical practice guidelines by the Infectious Diseases Society of
America. Clinical Infectious Diseases, 49(6), 817-840.
Allison Schultz
Hello Allison.
Thanks for your informative presentation. Research indicates that acute otitis media is one of the
most common pediatric bacterial infections that affects about 75 percent of children up to 5 years
of age (Forgie et al., 2009). Haemophilus influenza and Streptococcus pneumoniae are
responsible for about 80 percent of bacterial acute otitis media in children (Liese et al., 2014).
Therefore, your case study was an appropriate learning point from the population with the
highest prevalence of otitis media. Children with acute otitis media should be treated with
This study source was downloaded by 100000829957125 from CourseHero.com on 01-29-2022 11:41:21 GMT -06:00
https://www.coursehero.com/file/78741807/NR565-Week-6-Grand-Rounds-Presentation-Part-2-Responses-Keithadocx/
