RT Book, Section A1 Nigrovic, Lise E. A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. A2 Schafermeyer, Robert SR Print(0) ID 1155297980 T1 Meningitis and Other Central Nervous System Infections T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259860751 LK accesspediatrics.mhmedical.com/content.aspx?aid=1155297980 RD 2023/03/25 AB In the era of widespread conjugate vaccines, most children have aseptic, not bacterial meningitis. Enteroviruses are the major viral pathogen, with yearly peaks in the summer. In endemic regions, Lyme meningitis has been increasingly common.Empiric antibiotic coverage while awaiting results of bacterial cultures should cover the most likely pathogens for patients with suspected bacterial meningitis.Validated clinical decision rules can be used to identify children at low risk for bacterial meningitis, and in endemic regions, Lyme meningitis.