Guide for health workers at primary health care clinics.

SUSPECT MENINGITIS 

•  In a child who is severely ill, or unconscious, or who has a high fever, without an obvious
cause.
•  If there is a recent history of poor feeding, vomiting, fever  irritability, convulsions or
depressed level of consciousness.
•  In a young infants with a history of lethargy, apnoea or poor sucking.
•  In older children complaining of photophobia, headache and stiffness of the neck.

LOOK  FOR 

•  Danger signs:  not able to drink, convulsions, abnormally sleepy/ difficult to wake, in
a young infant temperature > 37.5°C or <35.5°C.
•  Signs of shock  tachycardia, pulses difficult to feel, cold peripheries,
capillary filling time > 4 seconds
•  Specific signs
of meningitis

neck stiffness and irritability
bulging fontanelle in an infant
•  Rash  petechial or purpuric rash, that  does not blanch, indicative of
meningooccal disease .

What is Drugs General use for Meningitis