Pediatric Fever- Ross Flashcards
A fever is described as greater than _______ degrees F
100.4
What is the gold standard way of checking temp in neonates?
Rectal
If an infant is >90 days old, what is the mc pathogen?
E.coli
In neonates (<28) weeks with a fever of 100.4, what does the work up consist of?
Under 28 days with fever 100.4 all get a work up of CBC, UA, CXR, cultures and CSF as in this age group high risk for SBI around 12%.
If a neonate (<28 weeks) has a fever, what do you give?
You give antibioitcs/antivirals asap (ampicillin, gentamycin and acyclovir)
A neonate (<28) days has a fever. What are the four mc pathogens responsbile?
Group B strep, E.coli, N. meningiditis, Listeria, Herpes
For an infant 29 days-60 days old, what are the criteria for the following (to admit):
- WBC
- ANC
- UA
- CXR
- LP
- WBC <5,000 or >15,000
- ANC >1,500
- UA >10
- CXR if resp sxs
- LP >10
If any of the 29-60 day labs are positive, what should you do?
Hospitalize + abx
In age group 29-60, if CBC and UA negative, do you need to do an LP?
No
If you give ABX what do you need to also do?
GIVE AN LP
What are the mc pathogens in age group 29-60 days?
S. pneumo, H.flu B, N. meningiditis, Listeria
In age group 29-60, what is the tx for S. pneumo, H. flu, E.coli?
Ceftoxamine or ceftriaxone
+Acyclovir
In age group 29-60, what is the tx for Listeria and GBS?
Ampicillin
+Acyclovir
In age group 29-60, what is the tx for MRSA?
Vancomycin
+Acyclovir
In age group 29-60, what is the tx for to give every time no matter the pathogen?
Acyclovir
For a 57-60 mo child with fever, what labs do you do?
UA and CBC
For a 57-60 mo child with CBC > __________ you should treat with Ceftriaxone and 24 hr f/u
> 15,000
For a 57-60 mo child with CBC > 20,000 you should do what?
LP and ABX
In 6 month old children, what is important to ask about before treating?
Immunization status
In 6 month old child, and UTD on immunizations, what should you do?
UA
If 6 month old and circumsized, what do you do?
UA up to 24 months
If 6 month old and uncircumsized, what do you do?
UA up to 12 months
If 6 month old and NOT immunized, then what?
Full septic w/u (CBC, UA, blood cultures, LP)
Greater than 6 months old and uncircumsized or girls, then what?
Do UA
If RSV or flu positive, do I still need SBI workup?
<60 days, yes
> 60 days but <6 months, UA
> 6 mo, no
