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Bacterial meningitis and meningococcal septicaemia

Guidance ID NICE 'do not do' recommendation Interventions
CG102 Do not perform a repeat lumbar puncture in neonates who are receiving the antibiotic treatment appropriate to the causative organism and are making a good clinical recovery and/or before stopping antibiotic therapy if they are clinically well. repeat lumbar puncture
CG102 Do not use cranial computed tomography (CT) to decide whether it is safe to perform a lumbar puncture. CT is unreliable for identifying raised intracranial pressure. cranial computed tomography (CT)
CG102 Do not treat people with meningococcal septicaemia with high-dose corticosteroids (defined as dexamethasone 0.6 mg/kg/day or an equivalent dose of other corticosteroids). high-dose corticosteroids
CG102 Do not use activated protein C in children and young people with meningococcal septicaemia. activated protein C
CG102 Do not test children and young people for complement deficiency who have had either a single episode of meningococcal disease caused by serogroup B meningococcus, or unconfirmed meningococcal disease. complement deficiency test
CG102 Do not test children and young people for immunoglobulin deficiency if they have had meningococcal disease, unless they have a history suggestive of an immunodeficiency (that is, a history of serious, persistent, unusual, or recurrent infections). immunoglobulin deficiency test
CG102 Do not use skin biopsies when investigating for possible meningococcal disease. skin biopsies
CG102 Do not use petechial or purpuric lesion aspirates (obtained with a needle and syringe) when investigating for possible meningococcal disease. petechial or purpuric lesion aspirates (obtained with a needle and syringe)
CG102 Do not use throat swabs when investigating for possible meningococcal disease. throat swabs
CG102 Do not use recombinant bacterial permeability-increasing protein in children and young people with meningococcal septicaemia. recombinant bacterial permeability-increasing protein

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This page was last updated: 28 March 2014

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.