The most common bacteria causing meningitis include Streptococcus pneumoniae, Neisseria meningitides, and Haemophillus influenzae. Guidelines issued by the National Institute for Health and Clinical Excellence (NICE) in regards to bacterial meningitis recommend administration of benzylpenicillin for children and young patients with suspected meningococcal disease in the pre-hospital setting. This is in accordance with existing advice issued by the chief medical officer.1,2 However, when the same patient comes in to hospital, the advice on …