Bacterial Meningitis Medical Slides
Generate publication-quality bacterial meningitis lecture slides in 30 seconds. AI-powered content structured for clinical education.
Generate Bacterial Meningitis DeckWhy teach Bacterial Meningitis?
Bacterial meningitis is a neurological emergency with mortality rates of 15-25% even with appropriate treatment, and significant neurological morbidity among survivors. Time to antibiotics is the single most important modifiable prognostic factor. Teaching bacterial meningitis emphasizes the urgency of empiric therapy, systematic CSF interpretation, and the evidence for adjunctive dexamethasone.
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Bacterial Meningitis Presentation FAQ
How should the "do not delay antibiotics" message be framed?
Present data showing that each hour of antibiotic delay increases mortality by 3-7%. Teach the principle: if bacterial meningitis is suspected, administer empiric antibiotics immediately, even before CT or lumbar puncture if these will cause delay. Blood cultures drawn before antibiotics can still identify the organism in 50-70% of cases.
What CSF findings should be emphasized for pattern recognition?
Create a comparison table of bacterial versus viral versus fungal versus TB meningitis showing WBC count and differential, glucose ratio (CSF/serum below 0.4 in bacterial), protein levels, and Gram stain yield. Emphasize that partially treated bacterial meningitis can mimic viral profiles, and that CSF lactate above 3.5 mmol/L has high specificity for bacterial etiology.
When should dexamethasone be given, and how should the evidence be taught?
Administer dexamethasone 0.15 mg/kg IV before or with the first dose of antibiotics, continuing every 6 hours for 4 days. Present the de Gans 2002 trial showing reduced mortality and hearing loss in pneumococcal meningitis. Note the controversy: benefit is best demonstrated for Streptococcus pneumoniae in high-income settings, and some guidelines suggest discontinuing if a non-pneumococcal organism is identified.
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