Child health- infection and immunodeficiency Flashcards
symptoms of group A strep
pharyngitis/ tonsilitis, otitis media, tracheaitis, pneumonia
causes of meningitis in children <3months old
GpB strep, Ecoli, listeria, pneumococcus, meningococcus
herpes simplex virus
treatments for bacterial causes of meningitis in children <3 months old
cefotaxime and amoxicillin
aciclovir for HSV
causes of meningitis in children >3months old
Meningococcus, pneumococcus ( haemophilus influenza non b )
Herpes simpex virus
treatment for children >3months old with meningitis
Cefotaxime / ceftriaxone
aciclovir for HSV
which conditions are children from sub saharan africa at higher risk of
TB, thyphoid, malaria
what is a common cause of osteomyelitis
injury with broken skin eg falling off bike
how would you diagnose osteomyelitis in children
blood culture
cant take bone sample as growth plate still developing in children
what is the most common cause of osteomyelitis
Staph. aureus
is a part of the normal flora
virulent invader
what is the main principle of treatment of meningitis?
DONT DELAY
blood cultures
EDTA PCR for meningococcal and pneumococcal meningitis
LP if possible
what is the notification procedure for N. meningitidis
call local public health
they will identify contacts and provide prophylactic ABX
what is the most common cause of pneumonia
Strep. pneumoniae
gram positive cocci
what is treatment for strep pneumoniae
IV benzylpenicillin
what is a consideration if there is no improvement in the child treated for pneumonia?
empyema- repeat chest xray to check