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  • CSF interpretation
    www.rch.org.au/clinicalguide/guideline_index/csf/
    Meningitis Meningococcal infection Last updated October 2024 Reference List Bhaskaran A, Racsa L, Gander R … in the cerebrospinal fluid.  Diagn Microbiol Infect Dis.  2013 Connell T, and Curtis N. How to interpret a CSF—the art … and the science.  Hot Topics in Infection and Immunity in Children II . Springer, Boston, MA. 2005 Curtis GDW …
  • Altered conscious state
    www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
    injury and infection are the most common causes of paediatric coma  The Glasgow Coma Scale (GCS … Blunt, penetrating head injury, falls, concussion Infection Meningitis, encephalitis, sepsis, cerebral … infective cause, give antibiotic and antiviral therapy urgently. See local antimicrobial guideline Treat …
  • Vomiting
    www.rch.org.au/clinicalguide/guideline_index/Vomiting/
    Infection is the most common cause of acute vomiting Bilious vomiting occurs when … Rectal bleeding Gastroenteritis Colitis Intussusception Meckel's diverticulum Infection Fever or systemic … Infection History of head injury/concern for NAI Intracranial bleed Metabolic Abdominal pain, polyuria …
  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    if there is altered mental state or no clear focus of infection Presentation of bacterial meningitis can vary from … (altered conscious state, focal neurological signs, seizures, signs or risk of HSV infection) and/or child … be with 10 mL/kg 0.9% sodium chloride IV boluses Children with CNS infections are at higher risk of excess …
  • Antifungal prophylaxis for children with cancer or undergoing haematopoietic stem cell transplant
    www.rch.org.au/clinicalguide/guideline_index/Antifungal_prophylaxis_for_children_with_cancer_or_undergoing_haematopoietic_stem_cell_transplant/
    prophylaxis has been shown to reduce the risk of invasive fungal infection (IFI) in selected high-risk … fungal infection (IFI). Factors that influence this risk include type of cancer, chemotherapy protocol … the initial infection may be used for prophylaxis, provided it was well tolerated and effective  Discuss …
  • Lacerations
    www.rch.org.au/clinicalguide/guideline_index/Lacerations/
    ) will improve wound outcomes (function, risk of infection, and cosmesis), as well as the child’s experience … space between each to allow drainage of fluid from the wound to avoid infection Keep dry for 72 hours … sutures are less inclined to become infected than braided sutures – consider this with potentially …
  • Fingertip and nail injuries – Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Fingertip_and_nail_injuries_–_Emergency_Department/
    indicate a tight dressing or infection. Elevate limb as possible (eg sling) Keep dressing dry (particularly … shield hinges 10. What are the potential complications associated with these injuries? Wound Infection … Fingertip Injuries: do prophylactic antibiotics alter infection rates? Pediatr Emerg Care 2008;24(3)148-52 …
  • Henoch-Schönlein purpura
    www.rch.org.au/clinicalguide/guideline_index/HenochSchonlein_Purpura/
    respiratory tract infection is present in 50% of HSP cases, commonly viral or Group A streptococcus infections … out differentials if the diagnosis is unclear (eg ITP, leukaemia, meningococcal infection …
  • Iron deficiency
    www.rch.org.au/clinicalguide/guideline_index/Iron_deficiency/
    , coeliac disease, inflammatory bowel disease, gastric or intestinal surgery or infection  Other chronic … disease, inflammatory bowel disease, gastric or intestinal surgery or infection Other chronic blood loss … deficiency in the presence of coexisting infection, inflammation or liver disease  Iron studies or serum iron …
  • Metacarpal Fractures – Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Metacarpal_Fractures_–_Emergency_Department/
    the MCP joint; Risk of deep infection here is very high, regardless of whether abnormality is present … in septic arthritis or infections of the deep spaces of the hand. Arthritis may complicate any …