N. meningitidis (PCN MIC<0.1)

Preferred Regimen

Penicillin 20-24 million units per day as continuous infusion*

OR

Ceftriaxone 2g q12h

*Must give Ciprofloxacin 500 mg once to eradicate carrier state if PCN used as treatment

ID consult advised

Ciprofloxacin 400 mg q8h

OR

Meropenem 2g q8h

Consider PCN desensitization