Neonatal and Childhood infections Flashcards

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1
Q

what infections are screened for during pregnancy

A

hep B
HIV
syphillis
Rubella status (not the inf itself)

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2
Q

what is a RF for toxoplasmosis

A

cats as pets

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3
Q

how likely is congenital toxoplasmosis to be symptomatic at birth

A

60% asymptomatic

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4
Q

what are the longer term complications of cogenital toxoplasmosis

A

deafness
lower IQ
microcephaly

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5
Q

what will congenital toxoplasmosis look like if symptomatic at birth

A
microcephaly
siezures/convulsions
intercranial calcifications
hepatosplenomegaly/jaundice
eye problems
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6
Q

how will congenital rubella syndrome present

A

cateracts, microcephaly, congen heart abn (PDA, ASD/VSD) deafness

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7
Q

how will neonatal HSV present

A

blistering rash

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8
Q

what will maternal chlamydia trochomatous cause in a neonate

A

neonatal conjunctivitis/pneumonia

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9
Q

give 3 causes of early onset (<48hr) inf in neonates and the type of bacteria that they are

A

Group B strep - G+ coccus, catalase neg
E coli - G- rod
listeria monocytogenes - G+ rod

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10
Q

what is the most common cause of late onset neonatal inf

A

coag neg staph

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11
Q

what is the main cause of childhood meningitis

A

Men B (neisseria men)

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12
Q

when is the men B vaccine given

A

2, 4 and 12 mo

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13
Q

other than men B, what are some causes of childhood meningitis

A

Strep pneumonia, haemophillus influenzae

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14
Q

when is the strep pneu vac given

A

12w and 12 mo

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15
Q

why might a LP be contra indicated

A
meningococcal 
inc ICP
bleeding disorder
overlying inf
spina bifida
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16
Q

what are the two most common causes of RT in in chidren

A

strep pneumonia

mycoplasma pneumonia

17
Q

what is the treatment for strep pneumonia

A

amox/pen

18
Q

what is the treatment for mycoplasma pneumonia

A

azithromycin

19
Q

what is commonly seen in mycoplasma pneumonia and wo gets it

A

seen in >4y schoolkids

cold agglutin common