Sepsis in children Flashcards
1
Q
What is the definition of sepsis in children?
A
Great or equal to 2 systemic inflammation response syndrome + invasive infection + cardiovascular infection, respiratory distress syndrome or two or more non-cardiovascular organ dysfunction
2
Q
What are the features of systemic infection response syndrome?
A
Temperature dysregulation Tachycardia Bradycardia Respiratory rate dysregulation Dysregulated leukocyte count for age
3
Q
What are the common causative microorganisms in childhood sepsis?
A
(Gram positive) Neiserria meningitidis E.coli Klebsiella Salmonella Haemophillus influenza B
(Gram negative) Strep. pneumoniae
Strep. A
Strep. pyogenes
4
Q
What are the risk factors of sepsis?
A
Bacterial infections (e.g. UTI, appedicitis) Newborn Viral infection Fracture Immunosuppression
5
Q
How is child sepsis diagnosed?
A
Paediatric early warning scores FBC UandE CRP Urine Chest X ray Blood culture Lumbar puncture
6
Q
What is the treatment for child sepsis?
A
(Broad spectrum antibiotic) Ceftriaxone or Cefotaxime
(Ensure open airway) High flow oxygen
(Get IV access) + take bloods + 20ml/kg rapid bolus crystalloid solution
