Specific Antibiotics Age Group In Acute Bacterial Meningitis Bacteria Antibiotics * Comments Gram-Positive Bacteria (Not Identified) Children And Adults Vancomycin (Editor’S Note: In Germany, Vancomycin Is Not Recommended) Plus Ceftriaxone (Cefotaxime) And Ampicillin – Gram-Negative Bacteria (Unidentified) Children And Adults Cefotaxime (Or Ceftriaxone
Meropenem or ceftazidime) plus gentamicin
Tobramycin or amikacin
when systemic infection is suspected – Haemophilus influenzae type B children and adults ceftriaxone (cefotaxime) (Editor’s note: In Germany it is also recommended Ampicillin!) – Neisseria meningitidis children and adults ceftriaxone (cefotaxime) After knowing the sensitivities penicillin G against sensitive strains used. Streptococcus pneumoniae children and adults vancomycin and ceftriaxone (cefotaxime) (Editor’s note: In Germany, vancomycin is not recommended!) After knowing the sensitivities penicillin G can be used against sensitive strains. Staphylococcus aureus and S. epidermidis children and adults used vancomycin with or without rifampicin After knowing the sensitivities vancomycin against methicillin-resistant strains
or it can be used nafcillin or oxacillin. (Editor’s note: In Germany we recommend the following when methicillin resistance: Vancomycin
