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Initial Evaluation and Management of Bacterial Meningitis in an Emergent Setting: A Review

Higginson, Chase B. PharmD(c); Martin, Craig PharmD; Cook, Aaron PharmD

Section Editor(s): Weant, Kyle PharmD, BCPS; Column Editor

doi: 10.1097/TME.0b013e3181f9e0c9

Bacterial meningitis is a severe infection involving the meninges, which surround and protect the brain and spinal cord. The infection leads to a significant host response and inflammation in this area. Potential consequences of this disease include hearing loss, seizures, hydrocephalus, permanent neurological deficits, coma, or death. Timely and effective therapy to treat meningitis is integral to the success of therapy and the prevention of neurological sequalae. The purpose of this review is to discuss the rapid identification and management of bacterial meningitis.

UK HealthCare Pharmacy Services, Department of Pharmacy Practice and Science (Drs Martin and Cook), University of Kentucky (Mr Higginson), Lexington.

Corresponding Author: Craig Martin, PharmaD, University of Kentucky, 800 Rose St. H112, Lexington, KY 40536 (

© 2010 Lippincott Williams & Wilkins, Inc.