35.3 Febrile Child Flashcards
most accurate temp for kids?
axillary thermometer
risk of bacterial infection in <3month old with fever?
12-15%!!
% of young children with fever due to bacteria?
7-25%
what kind of infection presents in infant age group without other clinical signs?
UTIs
7% of fevers
can lead to scarring
what not to miss when examining febrile child?
head to tow back to front fontanelle ENT lymph nodes rashes, genitalia chest, cvs abdo neuro msk, movements weight bearing
signs of toxicity?
Alert
breathing
circulation colour, capillary refill
decrease fluids (<4wet nappies /24 hours), skin turgor mucous membranes
neonate septic child temp may be?
hypothermic
normal HR for 0-1?
100-160
normal HR for 1-4yrs?
90-140
normal HR for5-11?
80-120
normal HR for 12+
60-100
most common causes of bacterial infection in neonates?
- Group B strep
- listeria monocytogenes
- e.coli
if neonate has URTI, less likely to be bacterial?
NOPE. increased risk of bacterial infection
if child <3 months has fever what to do?
-BACTERIAL INFECTION until proven otherwise!!!
-should be admitted to hospital for observation
-blood
-cultures
urine
-CSF
-CXR
-BGL
how high WCC and what Abx route to use in child?
child WBC >15
use parenteral ABx
