• Sexually transmitted infections (STIs)
    www.rch.org.au/clinicalguide/guideline_index/Sexually_transmitted_infections_STIs/
    Sexually transmitted infections (STIs) … infections (STIs) The Royal Children's Hospital Melbourne Internet Home About News Careers Shop Contact …   >   Sexually transmitted infections (STIs) In this section About Clinical Practice Guidelines CPG index …
  • Febrile child
    www.rch.org.au/clinicalguide/guideline_index/Febrile_child/
    can be signs of serious bacterial infection (or other serious illness) The severity of illness cannot … in children are viral infections, however serious bacterial infections (SBIs) need to be considered The most … common SBIs found in children without a focus are urinary tract infections  Other SBIs to consider …
  • Prolonged fever
    www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
    Key points Infection is the most common cause of prolonged fever. However, malignancy, rheumatological … relevant and may also need to be considered Opportunistic infections in immunocompromised children Neonatal … infections Hospital-acquired infections Assessment History Immune status: immunocompetent vs …
  • Animal and human bites
    www.rch.org.au/clinicalguide/guideline_index/Animal_and_human_bites/
    pose a high risk of infection and are considered contaminated wounds; prompt thorough washout … resulting from a punch), also known as a “fight bite” Infection is the most common complication of bite … injuries, especially cat and human bites Bite infections are polymicrobial, with potential pathogens …
  • The limping or non-weight bearing child
    www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
    and joint infections Acutely swollen joint Child abuse Key points Most children presenting with a limp do … or child abuse Toddler's fracture Bone and joint infection Transient hip synovitis Acute myositis … – calcaneus) Slipped upper femoral epiphysis (SUFE) Inflammatory arthritis All ages Infections: osteomyelitis …
  • Vulval ulcers
    www.rch.org.au/clinicalguide/guideline_index/Vulval_ulcers/
    also Sexually transmitted infections Vulval and vaginal conditions Key Points Most vulval ulcers … in children are aphthous or secondary to a systemic infection, rather than due to sexually transmitted … infections Diagnosis on clinical appearance alone is difficult and investigations are often required …
  • Antimicrobial guidelines
    www.rch.org.au/clinicalguide/guideline_index/Antimicrobial_guidelines/
    guidelines CENTRAL NERVOUS SYSTEM / EYE Infection Likely organisms Initial antimicrobials 1 (maximum dose … Benzylpenicillin with Vancomycin if possibility of penicillin-resistant pneumococci 5 With shunt infection … total duration CARDIOVASCULAR Infection Likely organisms Initial antimicrobials 1 (maximum dose …
  • Periorbital and orbital cellulitis
    www.rch.org.au/clinicalguide/guideline_index/Periorbital_and_orbital_cellulitis/
    with serious complications including intracranial infection, cavernous sinus thrombosis and vision loss  Urgent … cellulitis: infection within the orbit, (ie postseptal , the structures posterior to the orbital septum … thrombosis and extension to intracranial infection with subdural empyema, and meningitis the majority (>80 …
  • Dental conditions - non traumatic
    www.rch.org.au/clinicalguide/guideline_index/Dental_conditions_non_traumatic/
    practices and how to access dental services can prevent dental caries and odontogenic infection Once … a dental abscess or infection has formed, extraction or root canal therapy is usually required to remove … the source of the infection Background Dental caries occurs in more than 40% of Australian children and can …
  • Febrile seizure
    www.rch.org.au/clinicalguide/guideline_index/Febrile_seizure/
    further investigation Management includes identifying and managing the source of infection Antipyretics do …) in a young child without any of the following: central nervous system infection electrolyte imbalance … with simple viral infections Younger children are more likely to have a further febrile seizure 50% risk …