• Rabies and Australian bat lyssavirus post exposure prophylaxis
    www.rch.org.au/clinicalguide/guideline_index/Rabies_and_Australian_bat_lyssavirus_post_exposure_prophylaxis/
    of tetanus prone wounds Cellulitis and other bacterial skin infections Key points Rabies … infects the nervous system resulting in encephalitis and brain stem dysfunction causing death Advising …. Appropriate first aid substantially reduces the infection risk If the wound is open: clean ± debride, do …
  • Cough
    www.rch.org.au/clinicalguide/guideline_index/Cough/
    is an upper respiratory tract infection (usually viral in nature) Investigations and treatment are rarely … children is self-limiting Young children develop 6-12 respiratory tract infections per year, usually … infection or post-infectious cough. The likelihood of other causes depends on clinical findings, cough …
  • Suprapubic aspirate
    www.rch.org.au/clinicalguide/guideline_index/Suprapubic_aspirate/
    feedback Suprapubic aspirate Suprapubic aspirate PIC Endorsed See also Urinary tract infection Febrile … with recurrent urinary tract infections with positive cultures but minimal cellular response Contraindications … where SPA may compromise any pelvic/abdominal organs Overlying skin infection Potential complications …
  • Acquired torticollis
    www.rch.org.au/clinicalguide/guideline_index/Acquired_torticollis/
    spine assessment  If the child has signs of fever, infection or abnormal neurology, appropriate imaging …/dislocation, spinal haematoma Atlantoaxial rotary subluxation/fixation Infection: head and neck, spine, CNS … arrangement History of trauma Infective symptoms: fever  (see Febrile child), increased drooling , sore throat …
  • COVID-19
    www.rch.org.au/clinicalguide/guideline_index/COVID-19/
    , including those infected with newer variants such as the Delta strain Appropriate respiratory support should …, including SARS-CoV-2 (causing COVID-19) are a large family of viruses that cause respiratory infections Like … of a localised infective focus and clinical syndrome (eg bronchiolitis) Maintain a low threshold for assessment …
  • The penis and foreskin
    www.rch.org.au/clinicalguide/guideline_index/The_penis_and_foreskin/
    unless pathological phimosis Inflammation and infection Balanitis and inflammation Minor redness and/or … Infection and cellulitis Secondary bacterial infection can occur, with erythema or lymphangitis tracking … should be performed to exclude concomitant UTI Group A streptococcus ( Streptococcus pyogenes ) infection
  • Vulval and vaginal conditions
    www.rch.org.au/clinicalguide/guideline_index/Vulval_and_vaginal_conditions/
    Sexually transmitted infections Adolescent gynaecology - lower abdominal pain Adolescent gynaecology - … vaginal or perineal pain and/or itch Children with recurrent urinary tract infection symptoms but negative … Pinworms Bacterial overgrowth Foreign body Sexually transmitted infections Vaginal foreign body Trauma …
  • HSV Gingivostomatitis
    www.rch.org.au/clinicalguide/guideline_index/HSV_Gingivostomatitis/
    ) infection is usually asymptomatic. Herpetic gingivostomatitis is the most common clinical manifestation … their thumb), herpetic keratitis, oesophagitis, pneumonitis, lip adhesions and secondary infections … syndrome Reactive infectious mucocutaneous eruption (RIME) Assessment History Primary HSV infection occurs …
  • Petechiae and purpura
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_Petechiae_Purpura/
    infection or meningococcal disease, and often will not have a specific cause identified Seriously unwell … children with petechiae/purpura require urgent management  Background Serious bacterial infections … There are many other infective and non-infective causes of petechiae and purpura (see table below) Definitions …
  • Burns - post acute care and dressings
    www.rch.org.au/clinicalguide/guideline_index/Burns_-_post_acute_care_and_dressings/
    Limit fluid loss Prevent infection Promote healing Optimise nutrition Prevent complications Analgesia … infection control measures including isolation – follow local Burns Unit infection precautions Fever … is infected, send a swab for MCS and treat with empiric antibiotics as per local guidelines Toxic shock …