PIAC Case Series
Case 08 - Mark, 19 Years Old
Mark is a 19 y/o college student in ER with high fever, headache and lethargy. He appears ill and meningitis is suspected.
1) What isolation precautions should be instituted IN THE ER?
Institute DROPLET precautions when evaluating a patient with possible bacterial meningitis. This is because N. meningiditis can be transmitted to close contacts. This entails use of surgical mask when within 3 feet of the patient.
2) Who are we protecting with isolation precautions in this setting?
Remember use of DROPLET precautions in this setting is for YOUR protection. Contrast that with CONTACT precautions where the purpose is prevention of carriage of organisms to your next patient.
3) When can these be discontinued?
Droplet precautions for neisseria meningitis are discontinued after 24 hours of effective antibiotics.
4) Does the Iowa Dept of Health need to be notified?
Invasive meningococcal disease (meningitis, sepsis) is reportable to the Iowa Department of Public Health.
- Infection Prevention staff reports to IDPH; micro lab results automatically provided to Infection Prevention
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