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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 …
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The penis and foreskin
www.rch.org.au/clinicalguide/guideline_index/The_penis_and_foreskin/
unless pathologic phimosis Inflammation and infection Balanitis and inflammation Minor redness and/or … to paraphimosis Infection and cellulitis Secondary bacterial infection can occur, with erythema or lymphangitis … should be performed to exclude concomitant UTI Streptococcus pyogenes (group A streptococcus) infection …
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Fever and suspected or confirmed neutropenia
www.rch.org.au/clinicalguide/guideline_index/Fever_and_suspected_or_confirmed_neutropenia/
of cancer. The risk of serious bacterial infection is related to the degree and duration of neutropenia …: Recognition of sepsis (see Sepsis ) Source of infection - children with neutropenia may not have visible signs … of infection Prompt CVAD or IV access (within 30 minutes of arrival): Central venous access devices (CVAD …
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Influenza
www.rch.org.au/clinicalguide/guideline_index/Influenza/
of influenza does not exclude co-existing serious bacterial infection Background Incubation period is 1–4 days … bacterial infection especially S. aureus and S. pneumoniae Respiratory failure Neurological complications … Admitted children should be isolated (or cohorted) - discuss with hospital infection control Clinical …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …