Pediatric Infections

Question 1

risk of SBI in kids less than 3 months with fever

Answer 1

UTI, bacteremia, meningitis, osteo, pneumonia, gastroenteritis, cellulitis, septic arthritis

kids may present looking like viral syndrome but still have SBI

Question 2

Fever

Answer 2

pyrogen mediated rise in body temp above normal range

normal temp can vary by age in kids from 99.5-98

Question 3

best site to measure temp

Answer 3

hypothalamic artery

Question 4

vital signs in neonates

Answer 4

infants less than 1 year, HR should increase 10 beats for every 1 degree C

Question 5

broad spectrum treatment

Answer 5

ampicillin + (gentamycin or cefotaxime)

avoid ceftriaxone in kids <28 days because of lack of liver function

vancomycin for staph infxn
acyclovir for suspected herpes infxns

Question 6

standard management

Answer 6

• fluid resuscitation 20 ml/kg IV fluids to total 60-100 ml/kg
• culture prior to antibiotics because sterilization of csf can occur as quickly as 15 minutes post starting abx
• broad spectrum abx