W28/L9 Flashcards
1
Q
What’s the most common pathogen in any type of bone infection?
A
Staph aureus
2
Q
What’s are the 3 most haematogenous osteomyelitis pathogens in children?
A
Staph a
Strep pneumoniae
HIB
3
Q
Of children, which groups are more likely to get osteomyelitis?
A
Young (under 5) Boys (2x as often as girls) Indigenous Sickle cell Immunocomprimised Neonates
4
Q
WHat are the clinical signs of osteomyelitis?
A
Fever
Localised tenderness
Erythema
Oedema
5
Q
What’s the empirical treatment for osteomyelitis, and why?
A
Flucloxacillin
It will kill Staph A, strep pneumonia, strep pyogenes, GBS
6
Q
In what situations do we use empirical therapy of more than just flucloxacillin? And what is it?
A
If neonatal (high chance of gram -'ves) Or unimmunised (chance of HIB)
Cefotaxime
7
Q
What generation of cephalosporins is cefotaxime?
A
3rd