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Meningococcal septicaemia — RACP Paediatrics MCQ

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ModerateIDMeningococcal septicaemiaRACP Paediatrics

A 3-year-old presents acutely unwell with fever, non-blanching purpuric rash, and altered consciousness. You suspect meningococcal septicaemia. What is the most appropriate immediate antibiotic?

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Correct answer: B — IV ceftriaxone

For suspected meningococcal disease, IV ceftriaxone is the recommended empirical antibiotic in Australia. If IV access cannot be obtained, IM ceftriaxone or IM benzylpenicillin should be given without delay. Fluid resuscitation and intensive care support are also critical.

Reference: Australian Therapeutic Guidelines – 2024 – Antibiotic; RCH Melbourne – 2023 – Sepsis CPG