Daily Bolus of LR: Steroids in Meningitis

Leave a comment

February 2, 2012 by dailybolusoflr

Steroids in Meningitis


Corticosteroids are considered part of the treatment to be considered for patients with presumed bacterial meningitis, although data is not conclusive.


Possible benefits include: reduced cerebral edema, decreased CSF pressure and decreased CSF lactate levels as well as potentially a shorter course of symptoms and decreased in long term hearing loss (found in infants and children)


Benefit is thought to be most seen in cases where H. flu is the etiology (children) and where S. pneumonia is the etiology (adults)


If used, the administration of dexamethasone should be given either 15 minutes prior to or concurrently administered with the antibiotics and then continued for the following 4 days at 6-hour intervals. Agreement that doses given over an hour before antibiotics are likely not helpful.


Ref: Rosen’s 7th ed

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: