Pediatric ID II Flashcards
FOUO Empiric antimicrobial therapy must be comprehensive and should cover likely pathogens:
Ceftriaxone (Rocephin): gram-negative activity
Cefotaxime (Claforan): For septicemia and tx. Useful in pediatric infections as an alternative to ceftriaxone in infants in the first month
Ampicillin/sulbactam (Unasyn): Drug combo of beta lactamase inhibitor with ampicillin. Covers skin, enteric flora and anaerobes.
Impetigo 2 Types
Nonbullous impetigo: The most common skin infection in children
Staphylococcus aureus
Group A beta hemolytic streptococci (GABHS)
Bullous impetigo: Blisters
Almost exclusively by S. aureus
Erosions covered by “honey-colored” crust
Treatment of Impetigo
Antibiotic Therapy
Topical: Mupirocin (Bactroban)
Oral: Must cover against Staph aureus & Strep pyogenes and watch out for MRSA.
Septra DS (unless strep is suspected)
Clindamycin
Amoxicillin-clavulanate
Bullous Impetigo: Consider IV with large affected areas and oral antistaphylococcal drugs
Molluscum Presentation
Benign viral infection (poxvirus)
Single or multiple, rounded dome-shaped, pink, waxy papules, 2-5mm, umbilicated.
Common in children and immunosuppressed
From contact or sharing equipment
Molluscum Topical therapy
Imiquimod
Cantharidin
Treatment of UTI
Obtain urine for UA and culture prior to tx with antibiotics Antibiotics for parenteral treatment: Ceftriaxone Cefotaxime Ampicillin Gentamicin
Sepsis S/S
Fever (most common presenting symptom) Racing heart Rapid or labored breathing Cool extremities Jaundiced Hypotension Mental Status Changes
Syphilis Treatment
Penicillin G
Chlamydia treatment
Doxycycline 100mg
Zithromax 1000mg po once.
Neisseria Gonorrhoeae Bug
Gram negative intracellular diplococci
Herpes
Herpes type 1 (HSV-1) oral herpes
Herpes type 2 (HSV-2) genital herpes
Recurrences can be spontaneous or due to stress and immunosuppression
