Flashcards in Infection Deck (11):
In suspected meningitis, if a child has a fever and purpura, what needs to be given urgently?
Which are the most common bacterial agents for meningitis in:
2) 1-5 years
3) 5+ years
1) gram -ve (birth canal e.coil, Kleb) and group B strep, listeria
2) strep pneumonia, meningococcal, HIb
3) strep pneumonia, n.meningitis
How can you tell the difference between viral and bacterial CSF infection in meningitis?
Viral - clear - protein ⬆️glucose 〰
Bacterial - cloudy- protein ⬆️⬆️glucose ⬇️
When is a lumbar puncture contraindicated?
Prolonged or focal seizure
Abnormal pupils or posture
Cushings triad (high bp/ wide pulse pressure, Brady cardiac, irregular breathing) -> raided ice
Rx for septicaemia in children?
Corrections (glucose, electrolytes, dic)
Intubation if required
Rx for meningitis?
Iv dexamethasone before abx
Sore eyes, white spots in mouth, fever and cough indicated what infection?
Which infections have fever and vesicular rashes?
Hand foot and mouth
How is the chicken pox risk in I
Immune compromised patients managed?
Prophylaxis with zoster immune globulin
Treatment with Iv acyclovir
How would you treat listeria in neonates?
Ampicillin / amoxicillin