Infectious Flashcards
Most common organisms for neonate meningitis
GBS, E Coli, Listeria
Treatment of Meningitis for <3 m
Cefotaxime+Vanccomycin
Treatment of Meningitis for <1 m
Ampicillin + Cefotaxime
Meningitis organisms in infants > 3m
S. pneumoniae, N Meningitidis
Meningitis Abx in infants > 3m
Vancomycin + Ceftriaxone
LP Contraindications
Increased ICP
Cardiopulmonary instability
Coagulopathy
Infection at site of LP
You want to do LP but patient has inc ICP
If AF open, do LP. If not, CT first
What complication screening is IMP for meningitis
Hearing (within 4 wks of discharge)
When is Dexamethasone given in the treatment of Meningitis?
Within 1 hour of Abx initiation in HIb
Which meningitis has sterile CSF culture 2hours after treatment with 3rd G Cephalosporins
Meningococcal Meningitis
Which meningitis has sterile CSF culture 4 hours after treatment with 3rd G Cephalosporins
Pneumococcal Meningitis
How would microbial pretreatment affect CSF?
Cell count will not change
Glucose will increase
Protein would decrease
Which organism require the lengthiest Abx treatment (Meningitis)
E Coli
When to measure head circumference in Meningitis
In <18m
When to repeat LP in Meningitis?
If the organism is Gram -ve Bacilli, 24-48 hrs after initiation of therapy to ensure sterility
Meningococcal Meningitis/Hib prophylaxis
Rifampin
Severe ICP
Mannitol, hyperventilation
Purpura occurs with which meningitis?
Meningococcal Meningitis
Most common organism causing Pneumonia in <3m
Strept Pneumonia
Most common organism causing Pneumonia in 3m-5y
Viral (RSV)
Most common organism causing Pneumonia in > 5y
M pneumonia
Lobar pneumonia organism and treatment
S pneumoniae.
Outpatient: Amoxicillin
Inpatient: IV Cefuroxime
Bilateral lower lobe pneumonia organism and treatment
M pneumonae
Erythromycin
Bilateral lower lobe pneumonia with Eosinophilia organism and treatment
C Pneumoniae
Erythromycin
Afebrile pneumonia with Eosinophilia and Staccato cough + conjunctivitis <3m organism and treatment
C Trachomatis, Erythromycin
Bilateral interstitial pneumonia
Supportive (Viral)
Hallmark of pneuminia
Fever and cough
Most sensitive marker for pneumonia <5years
Tachypnea and retraction
Virus causing Measles
Paramyxovirus
Virus causing Mumps
Paramyxovirus
Virus causing Rubella
Togavirus
Virus causing Roseola
HHV6
Virus causing Hand Foot Mouth Disease
Coxsackie A
Virus causing Erythema Infectiousum
Parvovirus B19