Child health- infection and immunodeficiency Flashcards

1
Q

symptoms of group A strep

A

pharyngitis/ tonsilitis, otitis media, tracheaitis, pneumonia

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2
Q

causes of meningitis in children <3months old

A

GpB strep, Ecoli, listeria, pneumococcus, meningococcus

herpes simplex virus

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3
Q

treatments for bacterial causes of meningitis in children <3 months old

A

cefotaxime and amoxicillin

aciclovir for HSV

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4
Q

causes of meningitis in children >3months old

A

Meningococcus, pneumococcus ( haemophilus influenza non b )

Herpes simpex virus

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5
Q

treatment for children >3months old with meningitis

A

Cefotaxime / ceftriaxone

aciclovir for HSV

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6
Q

which conditions are children from sub saharan africa at higher risk of

A

TB, thyphoid, malaria

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7
Q

what is a common cause of osteomyelitis

A

injury with broken skin eg falling off bike

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8
Q

how would you diagnose osteomyelitis in children

A

blood culture

cant take bone sample as growth plate still developing in children

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9
Q

what is the most common cause of osteomyelitis

A

Staph. aureus

is a part of the normal flora
virulent invader

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10
Q

what is the main principle of treatment of meningitis?

A

DONT DELAY

blood cultures
EDTA PCR for meningococcal and pneumococcal meningitis

LP if possible

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11
Q

what is the notification procedure for N. meningitidis

A

call local public health

they will identify contacts and provide prophylactic ABX

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12
Q

what is the most common cause of pneumonia

A

Strep. pneumoniae

gram positive cocci

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13
Q

what is treatment for strep pneumoniae

A

IV benzylpenicillin

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14
Q

what is a consideration if there is no improvement in the child treated for pneumonia?

A

empyema- repeat chest xray to check

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