Comm. & Infec. Diseases Ch. 26 Flashcards
A major predisposing factor to the development of neonatal sepsis?
immature epidermal layer (p. 287)
Which immune response is not full developed in peds?
inflammatory response (p. 287)
What percentage of deaths in the late neonatal period are from sepsis?
50% (p. 287)
Which type of meningitis is more serious?
Bacterial
What is the mortality rate from meningococcal meningitis?
10-15% (p.288)
Meningitis age range
younger than 4years old , peaks at 3-8 mos.
Describe the action of steroids in meningitis?
can lead to decreased ABX penetration into CSF, used on case by case basis.
S/SX of meningitis in infants
may not exhibit classic signs, signs are vague
S/SX of meningitis in children (7)
- fever
- headache
- stiff neck
- spasm of neck and spine (Opisthotomos)
- generalized seizures in up to 33%
- DIC
- petechiae and purpura
Long term sequala of meningitis (4)
deafness, developmental delay, paralyzed muscles, seizures
How is measles spread?
airborne stays aloft for up to 2 hours, High nT,
Measles S/Sx
Three Cs
- cough, coryza (runny nose), conjunctivitis
- Koplik spots– small blue-white spots in the mouth
Measles incubation period
7-14 days
How long does the measles rash last?
5-6 days
Describe measles rash spread
downward and outward, starting at hairline, then face and neck.
WHO recommends what medication to treat measles?
Vitamin A
