Fever Flashcards
What are top 3 types of infections in infants LT 3 mo
- UTI
- bacteremia
- meningitis
What are top 3 types of infections in infants GT 3 yrs
Focal infections:
strep throat, cellulitis, pneumonia, bacteremia, meningitis
what are common causes of bacterial and viral infection in a neonate
Bacterial:
GBS, listeria monocytogens, e. coli, chlamydua trachomatis, nisseria gonorrhoeae
Viral: HSV varicella enterovirus RSV influenza
what are common causes of bacterial and viral infection in a 1-3 mo old
Bacterial:
H. influenzae, strep pneumoniae, nisseria meningitidis, e. coli
Viral:
varicella, enterovirus, RSV, influenza
what are common causes of bacterial and viral infection in a 3-36mo
Bacterial
strep pneumoniae, nisseria meningitidis, e.coli
Viral:
varicella, enteroviruses, RSV, influenza, Mono, Roseola, adenovirus, norwalk, coxsackie
what are common causes of bacterial and viral infection in a child GT 3 yrs old
Bacterial:
strep pneumo, nisseria meningitidis, e. coli, GAS
Viral: varicella enteroviruses RSV Influenza mono roseola adenovirus norwalk
What is the risk of serious bacterial infection in infant 38
6-10%
LT 28days up to 12%
What CSF results make acute bacterial meningitis unlikely (LT 0.1%)
CSF ANC LT 1000
CSF protein LT 0.80g/L
serum ANC LT 10,000
seizure
what are 5 contraindications to LP?
cellulitis cardiopulmonary instability bleeding diasthesis or plt LT 50 focal neuro deficits signs of increased ICP
what is the mgmt of febrile infants LT 28do
Full septic workup
amp 100mg/kg/day q6
AND gent 5mg/kg/24hr q8 or cefotaxime 150mg/kg/24 q8
consider acyclovir 20mg/kg q8
what is the mgmt of febrile infants 1-3mo who are well appearing with no infectious focus?
Philadelphia/Rochester/Boston criteria:
Clinically low risk if: no focus, prev healthy, non toxic, uncomplicated nursery stay
Labratory low risk if:
WBC 5-15 with LT 1500 bands
U/A
what is the mgmt of febrile child 3-36mo with fever GT 39 and no focal sx
if fully vaccinated: UC (F 15
what are the first S/s of meningicoccemia and how is it treated
cold hands/feed, leg pain abN skin mottling
ceftriaxone 10mg/kg
when should you LP a 1st time seizure
incompletely immunized, prior abx, signs of meningitis
what is a DDX for fever and petechia
HUS HSP RMSF sepsis DIC ITP leukemia
