Clinical practice guideline for bacterial meningitis (Belgium)
always perform MIC testing on CSF isolates
since pneumococcal resistance to 3rd generation cephalosporins remains rare and low level, addition of vancomycin to the empirical therapy not (yet) necessary
concern about penetration BBB when using adjuvant dexamethasone in case of less susceptible pneumococci
Acta Clin Belg 2001; 56: 225.
IDAB symposium, September 2002.