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Acute meningococcal disease
www.rch.org.au/clinicalguide/guideline_index/Acute_meningococcal_disease/
( > week 4 of life) (max 2.4 g) Duration of antibiotics is 5 days If meningococcal infection is not yet … transfers, see Retrieval Services Parent information Kids Health Info: Meningococcal Infection Last revised … bacterial meningitis , Clinical Microbiology and Infection, 22:S37–62. Waterfield T et al 2018, A protocol …
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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 …
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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 …
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Adolescent gynaecology - lower abdominal pain
www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Lower_Abdominal_Pain/
Abdominal pain - acute Engaging with and assessing the adolescent patient Urinary tract infection … Molar Pregnancy Vaginal bleeding, pelvic pain, an enlarged uterus and severe vomiting Infection Pelvic … ultrasound For infective causes Urine MCS to exclude UTI Perform first pass urine (nucleic acid amplification …
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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 …
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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 …
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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 …
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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 …
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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 …
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Epistaxis
www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
infection, drying of mucosa, intranasal steroids Rarer causes include foreign bodies, nasal polyps, bleeding … blowing for one week, no nose picking) if there is crusting and the mucosa appears infected, consider …