Abstract
Thirty babies with gram negative neonatal pyogenic meningitis were studied for therapeutic evaluation of various drug combinations. Group I received ampicillin and gentamycin and group II received ampicillin with chloramphenicol all intravenously. These drugs were continued for 2 wk after bacteriological cure. Group III include those from group I and II who did not show bacteriological cure even after 7 days of therapy and were given sulphamethoxazole—trimethoprim preparation intravenously for 3 to 4 days and continued orally for another 2 wk. Mortality was 75 per cent (9 cases) in group I compared to 16·6 percent (9 cases) in group II. Group III children developed more complications like cerebral palsy and hydrocephalus.
Similar content being viewed by others
References
McCracken GH Jr: The rate of bacteriologic response to antimicrobial therapy in neonatal meningitis.Am J Dis Child 123: 547, 1972
McCracken GH Jr, Shinfield H: Changes in the pattern of neonatal septicemia and meningitis.89: 203, 1976.
McCracken GH Jr, John D. Nelson:Antimicrobial therapy for newborn, 1977
Cowan ST, Stell KH:Manual for the identifications of medical bacteria. Cambridge University Press, London, 1970
Ericson H, Hogman C, Nickman K: A paper disc method for determination of bacterial sensitivity to chemotherapeutic and antibiotic agents.Scand J Clin Lab Invest Suppl 11: 21, 1954
Odell GB: The dissociation of bilirubin from allumin and its clinical implication.J Pediatr 55: 263, 1959
Morizania RN, Walton IG, Pickerning D: Neonatal meningitis treated with trimethoprim and sulpha methoxazole.Br Med J 11: 511, 1969
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Rami Reddy, M.D., Karan, S. & Reddy, S.V. Neonatal gram negative pyogenic meningitis: therapeutic evaluation. Indian J Pediatr 52, 53–56 (1985). https://doi.org/10.1007/BF02754719
Issue Date:
DOI: https://doi.org/10.1007/BF02754719