Bacterial meningitis (Paediatrics)

Medium urgency
-Moderately severe

Infection of the layers that surround and protect the brain and spinal cord, called the meninges.

The bacterium responsible will vary depending on the child's age and geographic location. The most common are streptococcus agalactiae, E. coli, meningococcus, pneumococcus and H. influenzae.

It generally presents with fever, headache, vomits, seizures and a stiff neck. In small children, it may manifest with a state of prostration, irritability, rejection of food or a bulging fontanelle.

Diagnosis is clinical, through reviewing the patient's medical history and a physical examination and it will be confirmed by analysing the cerebrospinal fluid. It is a serious condition that generally requires admission to the ICU.

Bibliographic references
  1. Sheldon L Kaplan. Bacterial meningitis in children older than one month: Clinical features and diagnosis. UpToDate. Noviembre 2015
  2. Sheldon L Kaplan. Bacterial meningitis in children older than one month: Treatment and prognosis. UpToDate. Junio 2015
  3. Kanegaye JT. Lumbar puncture in pediatric bacterial meningitis: defining the time interval for recovery of cerebrospinal fluid pathogens after parenteral antibiotic pretreatment. Pediatrics 2001; 108:1169.
  4. Lutsar I. Antibiotic pharmacodynamics in cerebrospinal fluid. Clin Infect Dis 1998; 27:1117.
  5. Finberg RW. The importance of bactericidal drugs: future directions in infectious disease. Clin Infect Dis 2004; 39:1314.
  6. Karen L. Roos. Meningitis, encefalitis, absceso cerebral y empiema. Harrison. Principios de Medicina Interna, 19e. Capítulo 164
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Diminished level of consciousness


    Neck stiffness


    Fever between 39ºC and 39.9ºC


    Irritability


    Convulsions in a limb

Pre-hospital care recommendations

Remain calm.
Consume over-the-counter pain relievers or anti-inflammatories.
Consume antiemetics if vomits are present.
If there are seizures it is important for the person not to hit their head. Turn them onto their side and don't introduce any objects or hands in their mouth.