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  • Burns - Post Acute Care and Dressings
    www.rch.org.au/clinicalguide/guideline_index/Burns_-_Post_Acute_Care_and_Dressings/
    infection Promote healing Optimise nutrition Prevent complications Analgesia Manage pain using multimodal … be worn for dressing changes Burns TBSA >10% may require additional infection control measures including … isolation – follow local Burns Unit infection precautions Fever is a common reaction to the hypermetabolic …
  • 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 …
  • Fever and suspected or confirmed neutropenia
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_suspected_or_confirmed_neutropenia/
    bacterial infection is related to the degree and duration of neutropenia. Bacteraemia is diagnosed in up … Sepsis ) Source of infection - children with neutropenia may not have visible signs of infection Prompt … Gram-positive infection (Including patients with cellulitis, obviously infected vascular devices, proven …
  • Gastrostomy - common problems
    www.rch.org.au/clinicalguide/guideline_index/Gastrostomy_Common_problems/
    is affected by thrush, do NOT use a zinc based product as this may worsen the infection.  Suitable … Infections Candida; under the skin flange, use topical antifungal preparations eg clotrimazole or nystatin …. Cellulitis (see photo); is normally due to staphylococcal infection (but can involve enteric flora …
  • Sepsis – assessment and management
    www.rch.org.au/clinicalguide/guideline_index/SEPSIS_assessment_and_management/
    A streptococcal infections: management of household contacts Key points Sepsis is defined as life-threatening … organ dysfunction caused by a dysregulated host response to infection It is important to diagnose sepsis …: Escherichia coli Group B Streptococcus Listeria monocytogenes is uncommon HSV infection should be considered …
  • Radius /ulna shaft diaphysis fractures - Fracture clinics
    www.rch.org.au/clinicalguide/guideline_index/fractures/Radialulna_shaft_diaphysis_fractures_Outpatient_fracture_clinics/
    neck fractures, and surgically treated forearm fractures g) Infection Rates reported at 0.2% for deep … infection and 3% for superficial infection with pinning/flexible nailing of these fractures. Open fractures … are at higher risk, rates reported at 1.2% for deep infection h) Neuropraxia Uncommon complication. Median nerve …
  • Malaria
    www.rch.org.au/clinicalguide/guideline_index/Malaria/
    is the treatment of choice for uncomplicated Plasmodium falciparum malaria Infection with P. vivax , P. ovale (or … Primaquine is commenced Background Malaria is a parasitic infection transmitted by Anopheles mosquitoes The 5 … species that infect humans are  Plasmodium falciparum, P. vivax, P. ovale, P. malariae, and P. knowlesi …
  • Influenza
    www.rch.org.au/clinicalguide/guideline_index/Influenza/
    for influenza does not exclude co-existing or secondary serious bacterial infection Background Incubation period … following an infection Assessment Clinical features of uncomplicated influenza Fever: 1/3 of children have … flowchart) Pneumonia Secondary bacterial infection, especially S. aureus and S. pneumoniae Respiratory …
  • Criteria-Led Discharge Background
    www.rch.org.au/clinicalguide/guideline_index/CriteriaLed_Discharge_Background/
    the risk of nosocomial infection is reduced (there is strong evidence that the risk of hospital acquired … infection is proportional to length of hospital stay) There are also other benefits: beds are made available …
  • Antenatal urinary tract dilation
    www.rch.org.au/clinicalguide/guideline_index/Antenatal_urinary_tract_dilation/
    tract infection Recognition of the seriously unwell neonate and young infant Key points Dilation … Palpable kidney Urinary tract infection (Children with UTI in the absence of urinary tract dilation … on antenatal ultrasound, see Urinary tract infection ) Assessment of severity Degree of UTD Anterior Posterior …