TY - CHAP M1 - Book, Section TI - Meningitis and Other Central Nervous System Infections A1 - Nigrovic, Lise E. A1 - Lelyveld, Steven A2 - Schafermeyer, Robert A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. PY - 2014 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 4e AB - In the era of widespread conjugate vaccines, most children have aseptic, not bacterial meningitis. Enteroviruses are the major viral pathogen with yearly peaks in the summer. In endemic regions, Lyme meningitis has been increasingly common.Empiric antibiotic coverage while awaiting results of bacterial cultures should cover the most likely pathogens for patients with suspected bacterial meningitis.Validated clinical decision rules can be used to identify children at low risk for bacterial meningitis and, in endemic regions, Lyme meningitis. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1105683168 ER -