What's the best treatment for meningitis?
In the case of viral meningitis, there is none. A
baby's immune system is usually strong enough to
neutralize the virus quickly, and no treatment is
necessary. But your doctor may still want to keep your
baby in the hospital for a few days to monitor his
symptoms. Otherwise, you can soothe your little one's
misery as you would flu symptoms, with rest, plenty of
liquids, pain relievers, and pampering.

Bacterial meningitis is another story. To banish this
more insidious invader, doctors flood the bloodstream
with strong antibiotics such as cefotaxime and
vancomycin. Babies often have to spend up to two weeks
in the hospital connected to an IV. Many are even fed
through the IV if they're feeling really sick. The
whole regimen is overwhelming for parents, but it
cures the disease about 85 percent of the time,
provided the illness is diagnosed within the first day
or so that symptoms appear (the disease progresses at
different rates in different people). That's why
calling the doctor as soon as you suspect meningitis
is so important. Any delay in treating bacterial
meningitis puts a child at risk for deafness, mental
retardation, or death. 

How do babies get meningitis?
No one knows. The bacteria that cause meningitis are
already present in the mouth and throat of many
healthy children and adults, and don't cause any
problems. Doctors have identified some babies who are
at higher-than-normal risk: those with abnormal immune
systems or sickle-cell disease, for example, as well
as babies who've had serious head injuries or have had
lots of exposure to cigarette smoke and a history of
lung infections. Babies under the age of 2 are more
susceptible than older children are because their
immune systems are still developing.

Some babies contract a particularly virulent strain of
meningitis during birth if the mother is infected with
Group B Strep bacteria. That's why pregnant women are
tested for this bug. If it is present, the baby is
given antibiotics at birth and spends his first few
weeks in the hospital.

For the rest of the family, the good news is that
meningitis is usually not nearly as contagious as the
flu. Only those in very close contact with the sick
child (parents, siblings) need to pay attention to the
kissing, the coughs, the wiping of bottoms. Wash those
hands in hot water after each exposure. Adults don't
often develop meningitis, but it does happen. 

Is it preventable?
Not 100 percent so. The most important thing you can
do is have your baby vaccinated. Make sure your baby
receives a vaccine against the once-common culprit,
Haemophilus influenza Type B, or Hib (it's usually
give at 2, 4, and 6 months, with a final dose between
12 and 18 months). The Hib shot, which has been a part
of standard immunization in the United States since
1987, has sharply reduced the incidence of childhood
meningitis. If you suspect that your baby is
particularly susceptible, ask your pediatrician about
other shots. A vaccine is now available to ward off
Pneumococcus bacteria, which cause the most common and
deadly form of meningitis. A shot for Neisseria, which
cause the second most insidious type, is currently
used in high-risk children and in the case of
outbreaks. 
---------from baby center------


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