Australian Family Physician
Australian Family Physician


Volume 39, Issue 5, May 2010

Meningococcal sepsis

Mike Starr Shabna Rajapaksa
Download article
Cite this article    BIBTEX    REFER    RIS

Meningococcal disease remains a significant illness with an overall mortality of around 8%. The majority of deaths occur in the first 24 hours, before the commencement of specialist care. Missing a diagnosis of meningococcal disease is a fear among health care practitioners.
This article presents a guide to identifying the salient features of meningococcal sepsis and initial management strategies in the primary care setting.
Initial presentation is often nonspecific and therefore it is important to have a high index of suspicion in children presenting with fever, lethargy, myalgia, vomiting and headache. These children should be monitored and reviewed carefully. If a nonblanching rash develops, immediate treatment, liaison with a paediatric intensive care unit and urgent hospital transfer is required. Initial management involves assessment and regular review of airway, breathing and circulation. Antibiotics (preferably intravenous cephalosporin) should be administered before hospital transfer.

Download the PDF for the full article.

Download article PDF


Australian Family Physician RACGP

Printed from Australian Family Physician - https://www.racgp.org.au/afp/2010/may/meningococcal-sepsis
© The Australian College of General Practitioners www.racgp.org.au