Do you want BuboFlash to help you learning these things? Or do you want to add or correct something? Click here to log in or create user.



Approach to suspected bacterial infections in children
#peds
Lobar Pneumonia
>>4 most likely causes: #1 = s pneumo, h influ, GAS (s pyogenes), s aureus (not common but important to think about)

Tx - most commonly s pneumo so send home on amoxi
>>even if admit b/c vomiting, give ampi because still targeting s pneumo

Acute bacterial pneumonia
>>other possible causes: Mycobacterium tuberculosis, RSV, Influenza A/B, adenovirus, etc

Microbiologic diagnosis
>>Blood cultures are insensitive (positive in < 20%)
>>Sputum culture (hard to get & usually contaminated with mouth bugs)
>>pleural fluid PCR - can specifically ask for s pneumo, or do pan-analysis for multiple

Empiric therapy for hospitalized children with uncomplicated pneumonia
>>Non-life threatening - ampicillin
>>Respiratory failure or septic shock - Ceftriaxone ± vancomycin (broader coverage)
-Main pathogen being targeted is S. pneumoniae
-Ceftriaxone offers better coverage against β-lactamase+ H. influenzae & possibly for S. pneumoniae with high level resistance to penicillin
-vanco for s aureus coverage (tend to be much sicker, tend to have abscesses)
-If influenza virus detected, strongly consider oseltamivir or zanamavir
If you want to change selection, open original toplevel document below and click on "Move attachment"


Summary

statusnot read reprioritisations
last reprioritisation on suggested re-reading day
started reading on finished reading on

Details



Discussion

Do you want to join discussion? Click here to log in or create user.