Suspected meningococcal disease
For prevention of secondary cases consult local public health team.
IV or IM benzylpenicillin
OR
IV or IM cefotaxime
Age 10+ years: 1200mg
Children 1-9 yr: 600mg
Children less than than 1 yr: 300mg
Age 12+ years: 1gram
Child < 12 yrs: 50mg/kg
Give IM if vein cannot be found
Transfer all patients to hospital immediately. IF time before hospital admission, and non-blanching rash, give IV benzylpenicillin or cefotaxime, unless definite history of hypersensitivity.