serious bacterial infections Flashcards

1
Q

what is easy to miss in febrile children

A

meningitis, UTI, bacteremia, occult pneumonia

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2
Q

abdominal pain can predominate

A

occult lobar pneumonia

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3
Q

which are hemotogenously spread

A

bacteremia, endocarditis, meningitis, osteomyelitis, septic srthritis

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4
Q

which are spread via direct invasion

A

UTI-pyelonephritis
pneumonia-sinusitis-mastoiditis
cellulitis-

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5
Q

what are the diagnostic tests you should get

A

blood culture, CMP, CBC c/ diff, urine, CSF culture whe stable

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6
Q

what are the most common etiologies of bacteremia/sepsis in children

A

N meningitidis, S pneumoniae

less common S aureus, S pyogens GAS, gram neg

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7
Q

what is the treatment of sepsis

A

Vancomycin and ceftriaxone - modify when culture comes back

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8
Q

for what pathogens should you prophylax close contacts

A
Neisseria meningitidis (PO -cipro, IM ceftriaxone, PO rifampin)
Haemophilus influenza type B (PO- rifampin)
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9
Q

you receive a urine culture: E coli

what is it susceptible to

A

ampicillin, TMP-SMX, cephazolin, ceftriaxone, ciprofloxacin

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10
Q

T/F most UTI in young children are pyelonephritis

A

true

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11
Q

what are the common etiologies of bacterial meningitis

A

Spneumo, N mening, Hib

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12
Q

what is the empiric tx for bacterial meningitis

A

cefotaxime or ceftriaxone + vancomycin

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13
Q

what are common etiologies of bacterial cellulitis

A

Staph aureus, Strep pyogenes GAS

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14
Q

what is the empiric tx for bacterial cellulitis

A

PO-augmentin; IV oxacillin/nafcillin

1st gen cephalospori: cephalexin; IV cefazolin

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15
Q

what if MRSA is suspected

A

clinamycin, vanco if really sick

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16
Q

a blood culture grows Strep pnumo - resistant to PCN what do you give

A

ceftriaxone, cefuroxime, vancomycin

17
Q

pneumo eti in infant

A

GBS, E coli, chlamydia, pertussis, viral -bronchiolitis

18
Q

infant pneumo eti

A

S pneumo, Hflu (not Hib), moraxella, GAS, pertussis

19
Q

empiric Abx for pneumo

A

outpt: amoxicillin
inpt: caftriaxone or ampicillin
atypical i.e myco- azithromycin

20
Q

most common eti of septic arthritis & osteomyelitis

A

Staph aureus, Strep pyogens

21
Q

empiric tx for SA & OA

A

IV clinda

22
Q

initial empiric tx for SA & OA

A

IV clinda