system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 26 year old patient presents with suspected pneumococcal meningitis. CSF culture is sent for antibiotic sensitivity. Which empirical antibiotic should be given till culture sensitivity result come?
assistant
The correct answer is  Ans. (D) Cefotaxime + vancomycin(Ref: Harrison 18/e p3414)Antibiotics Used in Empirical Therapy of Bacterial Meningitis and Focal CNS InfectionsIndicationAntibioticInfants <3 monthsAmpicillin + Cefotaxime3 months to 55 yearsCefotaxime (Ceftriaxone) + VancomycinAdults >55 yearsAmpicillin + Cefotaxime (Ceftriaxone) + VancomycinHospital-acquired meningitis post-traumatic or post-neurosurgery meningitis, neutropenic patients, or patients with impaired cell-mediated immunityVancomycin + Cefepime