Which patients with meningitis should be admitted to critical care?

  • Intensive care teams should be involved early in patients, given the high mortality rate and predisposition to rapid deterioration 
  • Suggested criteria for intensive care admission include:
    • Rapidly evolving rash
    • GCS <12 or less or a drop of >2 points (Intubation should be strongly considered in those with a GCS <12)
    • Requiring monitoring or specific organ support
    • Uncontrolled seizures
    • Evidence of severe sepsis