Evidence-based On-call

internal medicine

Meningitis

Prevalence
Causes
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis

Therapy

There is no clear benefit from dexamethasone in adults for other types of bacterial meningitis. ^d

Why?

Adults with meningitis who receive dexamethasone compared with no steroids are not clearly less likely to die or develop neurological sequelae. ^d

Expiry date: January 2003
Levels of Evidence used in grading these guides

Authors	RS Phillips , C Ball
Reviewer	B Davis
CAT Writers	C Ball , RS Phillips , C Wotton