Suspected Meningococcal Disease

BIS guidance

PHE

NICE CG102

For prevention of secondary cases consult local public health team.

Transfer all patients to hospital immediately.

If time before hospital admission, and non-blanching rash, give IV/IM benzylpenicillin or cefotaxime, unless definite history of hypersensitivity.

Treatment for prevention of secondary cases of meningitis should only be prescribed on the advice of a Public Health Consultant

IV or IM benzylpenicillin

Age ≥10 years: 1200mg

Children 1-9 years: 600mg

Children <1 year: 400mg

 

Give IM if vein cannot be found

OR

IV or IM cefotaxime

Age ≥12 years: 1 gram

Children <12 years: 50mg/kg

 

Give IM if vein cannot be found