How is meningococcal septicaemia managed?

Similarly to other types of septicaemia. The choice of antibiotic is benzyl penicillin or ceftriaxone intravenously. Start antibiotics immediately as the clinical condition deteriorates rapidly without treatment.

Do not do a lumber puncture as this is very dangerous due to brain swelling and will not alter the choice of initial treatment. Treat shock and move the patient to hospital urgently.

Meningococcal infection is a notifiable disease in South Africa.

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