SYNOPSISUndoubtedly much of the morbidity and mortality associated with neonatal meningitis is related to delay in diagnosis. Undoubtedly also, organisms such as proteus and pyocyaneus are more lethal. Despite this, there is adequate evidence that electrolyte imbalance from inappropriate A.D.H. secretion can compound the problems of the meningitis and thus disturb cerebral function. Careful monitoring of the serum sodium and also appropriate fluid restriction will prevent this. In addition, there should be an awareness of the frequency of ventriculitis in this age group. Ventriculitis can only be effectively managed by the local instillation of chemotherapeutic agents and a Rickham reservoir is a most satisfactory means of accomplishing this end.
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