RT Book, Section A1 Nigrovic, Lise E. A1 Lelyveld, Steven A2 Schafermeyer, Robert A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. SR Print(0) ID 1105683168 T1 Meningitis and Other Central Nervous System Infections T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-182926-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=1105683168 RD 2024/04/19 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.