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  • Intravenous access - Peripheral
    www.rch.org.au/clinicalguide/guideline_index/Intravenous_access_Peripheral/
    are more likely to fail than those inserted in the hand or forearm Monitor IV site for signs of infection … unused cannulas to minimise infection Selection of intravenous access The following guidance should … cannula Urgent blood gas analysis from inserted cannula Thrombophlebitis or infection Extravasation injury …
  • Haematuria
    www.rch.org.au/clinicalguide/guideline_index/Haematuria/
    asymptomatic microscopic haematuria, viral infections, UTI, trauma, HSP, hypercalciuria and inherited … of urinary infection: dysuria, frequency, pain, fever Systemic symptoms such as fatigue, oedema, rash …
  • Adolescent gynaecology - lower abdominal pain
    www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Lower_Abdominal_Pain/
    tract infection Key points This guideline focuses on gynaecological causes of abdominal and pelvic pain … rate Molar pregnancy Vaginal bleeding Pelvic pain Enlarged uterus Severe vomiting Infection Pelvic … adolescents with consent) If features of infection Urine MCS to exclude UTI First pass urine (nucleic acid …
  • Dysmenorrhoea
    www.rch.org.au/clinicalguide/guideline_index/Dysmenorrhoea/
    common cause) Obstructive reproductive tract anomalies Adenomyosis Infection including pelvic … commencing after pelvic infection or features suggestive of pelvic inflammatory disease Dysuria or dyschezia … (endometriosis, gynaecological cancers) Previous pelvic infection or abdominal surgery Renal anomaly or other …
  • Kawasaki disease
    www.rch.org.au/clinicalguide/guideline_index/Kawasaki_disease/
    fever Group A streptococcal (GAS) infections Pharyngitis, scarlet fever, acute rheumatic fever … hours of appropriate antibiotics Viral infections including adenovirus, enterovirus, EBV, CMV, HHV-6 … infection KD typically presents with sterile pyuria and urine dipstick findings: nitrite negative, leukocyte …
  • Local Antimicrobial Guidelines
    www.rch.org.au/clinicalguide/guideline_index/Local_Antimicrobial_Guidelines/
    guidelines Queensland: Children’s Health Queensland Infection management clinical guidelines South Australia …
  • Penetrating eye injury
    www.rch.org.au/clinicalguide/guideline_index/Penetrating_eye_injury/
    if haemodynamic condition allows Check tetanus status Give antibiotics: If prophylaxis without signs of infection …: oral ciprofloxacin 20mg/kg (maximum 750mg) BD If endophthalmitis is suspected or signs of infection …
  • Epistaxis
    www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
    , sneezing, coughing or straining friable nasal mucosa - from upper respiratory tract infection, drying … appears infected, consider treatment with a topical antibiotic ointment (eg Mupirocin) if dry cracked …
  • Ataxia
    www.rch.org.au/clinicalguide/guideline_index/Ataxia/
    for serious and treatable causes including CNS infection or inflammation, trauma, stroke, toxin ingestion …* Toxins* Tumours* Trauma* Metabolic Infections Vascular, may require urgent lysis see  Stroke Immune (eg …
  • Acute upper airway obstruction
    www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
    be productive with thick secretions Ludwig angina (infection of the sublingual and submandibular spaces) Swollen … methods are preferred See croup for specific management Treat the specific cause. For bacterial infections …