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Clinical Practice Guidelines

  • Animal and human bites
    www.rch.org.au/clinicalguide/guideline_index/Animal_and_human_bites/
    , consider the need for post-exposure prophylaxis against blood borne viruses (eg hepatitis B, HIV). Suggest …. Textbook of Paediatric Emergency Medicine, Third Edition. 2018. Elsevier. Great Britain. Dandle C and Looke … C. Dog and Cat Bites. American Family Physician. 2014. 90(4):239-243. McBean C, Taylor D and Ashby K …
  • Kawasaki disease
    www.rch.org.au/clinicalguide/guideline_index/Kawasaki_disease/
    hearing loss Cranial nerve palsy ( rare ) Gastrointestinal Diarrhoea, vomiting, abdominal pain Hepatitis … Delayed IVIg administration (≥10 days after fever onset) IVIg resistance ( fever ≥38°C present at 36 hours … weeks depending on response Second line treatment If there is IVIg resistance (fever ≥38°C present at 36 …
  • Prolonged fever
    www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
    Background In this guideline, prolonged fever refers to a fever of ≥38.0°C lasting more than 7 days without … investigations Bloods Serology for Hepatitis ABCE +/- PCR in child with deranged LFTs; withhold hep B serology … to 3 weeks Acute: flu-like illness, pneumonia, hepatitis, lymphopenia, thrombocytopenia Chronic …
  • Influenza
    www.rch.org.au/clinicalguide/guideline_index/Influenza/
    , particularly: neurological, respiratory, cardiac, haematological (including sickle cell disease), hepatic … for influenza. 2024. World Health Organization. Geneva Reference List Blyth, C et al. Influenza Epidemiology …
  • Antimicrobial guidelines
    www.rch.org.au/clinicalguide/guideline_index/Antimicrobial_guidelines/
    Antibiotic-associated C. difficile Metronidazole 7.5 mg/kg (400 mg) oral tds 7–10 days Giardiasis G. lamblia …. corrodens Pasteurella spp. (cat and dog) C. canimorsus (dog) Amoxicillin/Clavulanate (400/57 mg/5 mL) 22.5 … protocols for fever and neutropenia may differ Target trough ( < 2 mg/L pre 3rd dose) If suspected C …