Fig. 4

Flow chart of hospital management of cases with invasive meningococcal disease. Thirty-four cases who had invasive meningococcal disease (IMD) arrived at a hospital without being treated prehospitally. Ten were suspected of IMD at first evaluation and treated as such. Twenty-four cases were not suspected of IMD at first evaluation. Ten of these initially received other antibiotic treatment while 13 did not receive other antibiotic treatment before initiation of relevant treatment. One case did not receive relevant treatment prior to death. Relevant treatment was defined as treatment against a known etiology or empirical treatment as per local guideline for suspected bacterial meningitis or invasive meningococcal disease