Olejnik Z, Lipowski D, Przyjałkowski W, Strzelecki R, Janeczko J, Baranowska M, Romanowska B
Kliniki Chorób Zakaźnych dla Dorosłych, Instytutu Chorób Zakaźnych i Pasozytniczych AM w Warszawie.
Pol Tyg Lek. 1994;49(20-22):468-71.
The authors present own methods and results of the treatment of 578 patients with suppurative meningitis and encephalitis. Etiologically most frequent infections due to N. meningitidis, S. pneumoniae, and H. influenzae were treated with penicillin and ampicillin; the authors recommend to replace the latter antibiotic with cefotaxime. If meningitis and encephalitis were due to aerobic gram-negative bacilli, a possibility of the simultaneous infection with anaerobic flora was considered, and the drugs active against both types of the organisms were administered. The same was the treatment in case of etiologically confirmed staphylococcal infection. In case of unknown etiology of meningitis and encephalitis therapy was based on clinical data, and laboratory findings.
作者介绍了治疗578例化脓性脑膜炎和脑炎患者的自身方法及结果。病因上最常见的由脑膜炎奈瑟菌、肺炎链球菌和流感嗜血杆菌引起的感染，采用青霉素和氨苄西林治疗；作者建议用头孢噻肟替代后一种抗生素。如果脑膜炎和脑炎由需氧革兰氏阴性杆菌引起，则考虑同时感染厌氧菌的可能性，并使用对这两种菌都有效的药物。病因确诊为葡萄球菌感染时的治疗也是如此。对于病因不明的脑膜炎和脑炎，治疗基于临床资料和实验室检查结果。
