febrile child

Question 1

yale observation scale indications?

Answer 1

• 3-36 months
• serious inf. suspicion
• toxic apperarance

Question 2

Yale observation criterias?

Answer 2

• crying quality
• reaction to parents
• state variation

Question 3

Rochester criteria indications?

Answer 3

• 60-90 days febrile child

* reassures against serious infection

Question 4

WBC değerleri

Answer 4

Low Risk: WBC<15.000 & Bandemia<1500

High Risk: WBC>15.000 & Bandemia>1500

Question 5

CXR indiations?

Answer 5

• > 3 months
• SO2<95%
• RD, Tachypnea,
• Rales
• Fever>39.5
• WBC>20.000

Question 6

Infants<28 days

Answer 6

immune system immature.
Risk of acq infection at delivery, sepsis.
PE, Lab( CBC & Blood culture, urinanalysis & culture, lp
If diarrhea : look stool for wbc, if bloody, culture

Question 7

Management of <28 days

Answer 7

hospitalization, parenteral ab while waiting for culture,( no need if low risk)

Question 8

Infants at 30-90 days evaluation

Answer 8

PE, Lab(CBC & Blood culture, urinanalysis & culture, LP and CXR),

Question 9

Infants at 30-90 days management

Answer 9

Hospitalization if risk is not low
Clinic criteria : previous infections, nontoxic appearance, no focal bacteria inf.
Lab: wbc between 5k & 15k
Cover with parenteral ceftriaxone,

Question 10

Antibiotics for each group?

Answer 10

0-28:ampicillin, gentamicin
1-2 months: ampicillin & cefotaxime / ceftriaxone
2-36ay: ceftriaxone

Question 11

Antiphyretics for infants

Answer 11

ibuprofen(>6 months) & acetaminophen