Doctor insights on:
Isolation Precautions For Viral Meningitis
Can the Hepatitis B vaccine alone (first shot for an unvaccinated person), given 48 hours post-exposure, prevent infection?
Not likely: If you have been definitively exposed to Hep B then will need HBIG/hep B immune globulin as well as the hep B vaccine. The immune globulin will act like a sponge and soak up any hep B virus present currently in your body. The hep B vaccine then stimulates your body to produce antibodies, which will then attach to and disable the viral particles. This process takes 2-4 weeks to make antibodies. ...Read more
Viral meningitis is inflammation of the tissues in the brain and spinal cord that is caused most commonly by enteroviruses. Viral meningitis is not usually as severe as bacterial meningitis and usually resolves without any treatment. However, viral meningitis that is caused by the herpes virus can be life threatening if left untreated. Symptoms include fever, neck stiffness, ...Read more
Does viral meningitis take longer to progress than bacterial meningitis? What's the treatment for viral?
Is there any vaccination or preventive measures against bacterial meningitis should I go overseas?
Meningitis: The risk of contacting meningitis as an adult is minimal. In a third world country be much more concerned with malaria, and other mosquito born diseases. For third world countries check with an infectious disease specialist for vaccination reccomendations. ...Read moreSee 1 more doctor answer
How to know if bacterial meningitis is an infection with neisseria meningitis or haemophilus influenzae?
Body fluid avoidance: Universal precautions refers to the steps taken to avoid exposure to potentially infectious or contagious body fluids. This usually includes latex (or similar) gloves, eye protection or a face shield, a mask, and a disposable gown. These personal protective devices (PPD) are used in the appropriate situations, with latex gloves almost always being utilized. ...Read more
Nasal mucous: Nasal mucous can be submitted to the lab for identification of the RSV antigen (protein) through immunoflorescent or enzyme immunoassay. These are available in kit form to hospitals & some offices.The test is seldom preformed unless the patient is hospitalized.The test itself does not predict the severity of illness but knowing test results simplifies supportive care as RSV is somewhat predictabl. ...Read more
Supportive care: Uncomplicated viral meningitis is treated generally as an outpatient with supportive care only such as tylenol (acetaminophen) or Motrin for fever and/or pain. Any person showing more severe symptoms, neurologic complications, or other concerning symptom is admitted to the hospital for specific treatments for their complications. ...Read more
How can you tell if bacterial meningitis is an infection with neisseria meningitis or haemophilus influenzae?
What precautions are required for health care workers when treating patients with herpes encephalitis?
Contact precautions: Use contact precautions, as herpes simplex is contagious mainly by contact with an infected person's sores. A never-infected person, without protective antibodies, could catch herpes from a patient with herpes encephalitis, but he would likely just get a typical herpes infection and future recurrences of sores. It is very unlikely that he would get encephalitis, because encephalitis is quite rare. ...Read moreSee 1 more doctor answer
Not really: As a live attenuated vaccine, we avoid them in immunocompromised people. Most people have been immunized with MMR as children anyway but if an HIV infected person who is susceptible to measles is in the midst of a measles outbreak, the measles vaccine is way better than wild type measles. ...Read moreSee 1 more doctor answer
Different: Bacteria of many types can cause meningitis. In premi's it is often Group B strep or E.coli. In unimmunized infants and toddlers, Hemoplillis influenzae or pneumococcus & rarely meningococcus. In older kids, teens and adults it may be meningococcus or pneumococcus among others. Meningococcal meningitis is just getting more advertising time with newer vaccines available. ...Read moreSee 2 more doctor answers
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