paed infection Flashcards
1
Q
what are causative organisms of sepsis in neonates ?
A
group B strep
E. coli
listeria monocytogenes
2
Q
what are causative organisms of sepsis in children ?
A
strep pneumonia
meningococci
group A strep
staph aureus
3
Q
what are symptoms of sepsis ?
A
fever/hypothermia cold hands/feet, mottled prolonged cap refill rigors limb pain vomiting, diarrhoea weakness aches rash recreased urine output
4
Q
how do you treat paed sepsis ?
A
supportive ABCDEFG
cephalosporins + amoxicillin
5
Q
how do you investigate sepsis ?
A
FBC CRP coagulation U+Es, LFTs blood gas culture CSF CT head urine culture
6
Q
what organisms cause meningitis in children ?
A
strep pneumoniae
meningococci
haemophilus influenzae
7
Q
what are symptoms of meningitis in children ?
A
nuchal rigidity headaches, photophobia decreased conscious focal neurological signs seizures
8
Q
what are symptoms of meningitis in neonates ?
A
lethargy
irritability
bulging fontanelle
seizures
9
Q
what are additional treatments for meningitis ?
A
chemoprophylaxis
steroids
10
Q
what are long term complications of meningococcal disease ?
A
amputation
skin scarring
cognitive impairment
