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Community acquired needle stick injury
www.rch.org.au/clinicalguide/guideline_index/Community_acquired_needle_stick_injury/
in a child leading to transmission of a blood borne virus such as hepatitis B, hepatitis C, or HIV … the needle/syringe Immunisation history (specifically tetanus and hepatitis B) High risk CA-NSI Source known … Investigations If child is immunised, test for: Hepatitis B surface antibody (HBsAb) marked urgent, follow up …
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Fever in the recently returned traveller
www.rch.org.au/clinicalguide/guideline_index/Fever_in_the_recently_returned_traveller/
Rickettsial infection Rickettsial infection Hepatitis Arboviral infections, eg Dengue, Yellow fever Measles … fever Hepatomegaly Malaria, typhoid, dengue, viral hepatitis, amoebiasis, leptospirosis Splenomegaly … haemorrhage Typhoid Cough, coryza, conjunctivitis Respiratory viruses, measles Jaundice Viral hepatitis …
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Immigrant health - acute presentations
www.rch.org.au/clinicalguide/guideline_index/Immigrant_Health_acute_presentations/
- H pylori Immigrant health - Hepatitis B Diarrhoea Viral gastroenteritis Bacterial gastroenteritis …) Typhoid Dysentery Dengue and arboviral infections Hepatitis Febrile Child Illness in returned traveller …/vomiting, family history Hepatitis Abdominal pain Immigrant health – Intestinal Parasites Immigrant health …
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Management of tetanus-prone wounds
www.rch.org.au/clinicalguide/guideline_index/Management_of_tetanusprone_wounds/
– injectable polio vaccine hep B – hepatitis B Hib – Haemophilus influenzae type B * ATAGI recommends the use … for diphtheria, tetanus, pertussis combination vaccines DTPa, hep B, Hib, polio Infanrix hexa Vaxelis DTPa …
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Chickenpox (varicella)
www.rch.org.au/clinicalguide/guideline_index/Chickenpox_varicella/
superinfection, particularly group A Streptococcus (GAS) and S aureus , pneumonia, encephalitis, hepatitis …) Immunodeficiency Complications Encephalitis Hepatitis Pneumonia/pneumonitis Management Investigations Chickenpox … . 2011. 62:101-109. Lesko SM, O'Brien KL, Schwartz B, et al. Invasive group A streptococcal infection …
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Sexual health history taking in the adolescent
www.rch.org.au/clinicalguide/guideline_index/Sexual_health_history_taking_in_the_adolescent/
resources Australian Society for HIV, viral hepatitis and sexual health medicine Sexual history taking … Pediatr. 2004;21(1):64-90. Guy RJ, Ali H, Liu B, Hocking J, Donovan B, Kaldor J. Genital chlamydia … Health. 2018. 2 (3): 223-228. The Kirby Institute. HIV, viral hepatitis and sexually transmissible …
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Contact prophylaxis for invasive meningococcal or Hib disease
www.rch.org.au/clinicalguide/guideline_index/Contact_prophylaxis_for_invasive_meningococcal_or_Hib_disease/
type b (Hib) disease involves the treatment of at-risk contacts to eliminate nasopharyngeal carriage …, C, W or Y Haemophilus influenzae type b Requires contact prophylaxis The index patient if they have … should be completed Rifampicin should not be used if there is hepatic impairment Preferred in infants …
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Neonatal antimicrobial guidelines
www.rch.org.au/clinicalguide/guideline_index/Neonatal_antimicrobial_guidelines/
to treat Early onset sepsis (EOS <48 hours) is commonly caused by Group B streptococci (GBS) or Escherichia … NOT suspected or Normal CSF Group B streptococci E.coli L. monocytogenes Benzylpenicillin and Gentamicin Cease … and other comments BLOOD Bacteraemia Group B streptococci E. coli Coagulase-negative Staphylococcus …
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Paracetamol poisoning
www.rch.org.au/clinicalguide/guideline_index/Paracetamol_poisoning/
and deliberate self-poisonings Hepatic failure or death is uncommon in treated individuals Acetylcysteine … RUQ tenderness Hypotension Hypoglycaemia Acute kidney injury Encephalopathy Signs of fulminant hepatic … to be available within 8 hours of a potentially toxic ingestion Child has symptoms of hepatic injury Acute …
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Prolonged fever
www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
investigations Bloods Serology for Hepatitis ABCE +/- PCR in child with deranged LFTs; withhold hep B serology … to 3 weeks Acute: flu-like illness, pneumonia, hepatitis, lymphopenia, thrombocytopenia Chronic … tularensis subsp. holarctica (type B) TAS, NSW 1 to 14 days Ulcer and regional lymphadenopathy …