Manejo hospitalario de la meningoencefalitis bacteriana por S. Neumoniae

the therapeutic attitude to face bacterial meningitis (bme) is one of the most important challenges for pediatricians, since the prognosis depends on its timely and adequate management the changes in the epidemiology of the bacterial infectious neurological syndromes ocurred in cuba from 2000 on, promoted the implementation of modifications in the conventional therapeutical antibiotic regimen. in this article, without forgetting that the ideal treatment is the preventive one, it is exposed an updated review of the hospital management of bme due to s.pneumoniae that includes: adoption of general measures, early establishment of actions directed to alleviate the harmful effects of the systemic inflammatory reponse, specific conduct against the agent (antibiotic therapy) and, finally, the identification and beginning of the rehabilitation of sequelae. emphasis is made on the modifications of the antibiotic scheme recently adopted by the national commission of the national system of information. considerations are made on the introduction of vancomycin in the antimicrobial scheme of the bme caused by s. pneumnoniae.