PSBI

Question 1

Background: Bacteremia and septicemia

Question 2

Infants

Answer 2

Rectal temp: ./= 38 degrees Celsius

Question 3

Older children

Answer 3

Rectal temp: 38.4 degrees Celsius

Question 4

Define occult Bacteraemia

Answer 4

• Bacteraemia in a febrile young child who has no apparent bacterial focus of infection and looks well.
• No clinical evidence of sepsis (e.g. shock or purpura) or a toxic appearance.
• Has no significant underlying chronic medical conditions.
• Usually in patients in whom a positive result is not anticipated
• Possible serious bacterial Infection: PSBI

Question 5

Cause of occult bacteremia
- list and explain

Answer 5

• Many different organisms
• Distribution seasonal
• Varies in different age-groups
• Children <2years: risk of infection from organisms with polysaccharide capsules
  Streptococcus Pneumonia
  H. Influenzae Type B
  N. Meningitidis
  Salmonella spp

Question 6

CRP vs PCT

Question 7

Childre < 3 months

Question 8

Infants < 30 days