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Flashcards in Infection Deck (11):
1

In suspected meningitis, if a child has a fever and purpura, what needs to be given urgently?

Antibiotics

2

Which are the most common bacterial agents for meningitis in:
1) neonates
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

3

How can you tell the difference between viral and bacterial CSF infection in meningitis?

Viral - clear - protein ⬆️glucose 〰
Bacterial - cloudy- protein ⬆️⬆️glucose ⬇️

4

When is a lumbar puncture contraindicated?

Prolonged or focal seizure
Focal neurology
Gcs<13
Purpuric rash
Abnormal pupils or posture
Coagulation disorders
Cushings triad (high bp/ wide pulse pressure, Brady cardiac, irregular breathing) -> raided ice

5

Rx for septicaemia in children?

Fluid resuscitation
Iv Ceftriaxone
Corrections (glucose, electrolytes, dic)
Intubation if required
Inotropes

6

Rx for meningitis?

Iv dexamethasone before abx
Iv ceftriaxone

7

Sore eyes, white spots in mouth, fever and cough indicated what infection?

Measles

8

Which infections have fever and vesicular rashes?

Chickenpox
Herpes simple
Hand foot and mouth

9

How is the chicken pox risk in I
Immune compromised patients managed?

Avoid exposure
Prophylaxis with zoster immune globulin
Treatment with Iv acyclovir

10

How would you treat listeria in neonates?

Ampicillin / amoxicillin

11

What infection do you think of with 5 days fever, plus sore lips, conjunctivitis, cervical lymphadenopathy, oedema in hands and feet, and rash.

Kawasaki disease
Rx - high dose Iv Ig, aspirin

Do an ECHO - coronary artery aneurysms