Division of Infectious Diseases, Children's Mercy Hospital, Kansas City, Missouri.
J Pediatric Infect Dis Soc. 2019 May 11;8(2):187-188. doi: 10.1093/jpids/piy121.
The use of empiric vancomycin plus a third-generation cephalosporin for suspected bacterial meningitis has been recommended since 1997. Although the prevalence of ceftriaxone-nonsusceptible pneumococcal meningitis has decreased, vancomycin should still be included as empiric therapy for bacterial meningitis.
自 1997 年以来,推荐使用经验性万古霉素加第三代头孢菌素治疗疑似细菌性脑膜炎。虽然对头孢曲松耐药的肺炎球菌性脑膜炎的流行率已经下降,但万古霉素仍应作为细菌性脑膜炎的经验性治疗药物。