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Meningitis - Streptococcus pneumoniae

Advices

≥ 18 years

Indications: penicilline gevoelig, S, gemeten

Priority Medication Remarks
Priority:
1st choice
Medication:

benzylpenicilline iv loading dose 2million. IU, 12million. IU continuous per 24 hours 10 days

Priority:
1st choice alternative
Medication:

benzylpenicilline iv 2million. IU 6dd 10 days

≥ 18 years

Indications: penicilline intermediair gevoelig, I, gemeten

Priority Medication Remarks
Priority:
1st choice
Medication:

ceftriaxon iv 2g 2dd 10 days

≥ 18 years

Indications: penicilline resistent, R, gemeten

Priority Medication Remarks
Priority:
1st choice
Medication:

vancomycine iv 10 days

+

ceftriaxon iv 2g 2dd 10 days

Remarks:

Voor vancomycine zie de algemene opmerkingen.

General comments

Vancomycine 
Voor dosering vancomycine en spiegelbepalingen zie Vancomycine dosering en TDM

Meldingsplicht 
Bij patiënten geboren na 2006 of ouder dan 60 jaar is invasieve pneumokokkenziekte een meldingsplichtige ziekte groep C.

Sources

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-145463.8
Updated: 06/23/2025 - 14:48
Status: Published