The Clinical Handbook of Pediatric Infectious Disease by Russell W. Steele

By Russell W. Steele

Within the care of pediatric sufferers, infectious illnesses contain over 50% of the scientific diagnoses. as a result, it's necessary to have a uncomplicated figuring out of infectious procedures and to maintain abreast of latest advancements within the box. This reference stands as a handy and time-saving reference for clinicians at the prognosis, therapy, and prevention of pediatric infections ailments and is totally up to date to incorporate the most recent instructions from esteemed societies equivalent to the Infectious illness Society of the US, the facilities for sickness keep an eye on and Prevention, the yank Thoracic Society, and the yankee Academy of Pediatrics.

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General care during and after completion of antimicrobial therapy for endocarditis is summarized in Table 16. Myocarditis and Pericarditis Myocarditis is more likely to have a viral etiology (Table 17), whereas endocarditis and pericarditis are more commonly caused by bacterial agents (Table 18). Intravenous immunoglobulin (IVIG) is recommended for the treatment of myocarditis and pericardial drainage for pericarditis. Broad spectrum antimicrobial therapy is appropriate for all patients with these life threatening cardiac infections pending results of cultures and other diagnostic evaluation.

The course of severe GBS may be influenced by early recognition and the availability of intensive care, in particular ventilatory support (Table 23). With such support, all children with GBS should survive with a favorable outcome. The most common pediatric complications of GBS are respiratory arrest, aspiration pneumonia, autonomic dysfunction, and iatrogenic complications of prolonged ventilation. Intravenous immunoglobulin has been shown to prevent progression of more severe disease and decrease the development of late-stage GBS.

10 days CSF Age >4 wks–1 yr Aqueous crystalline penicillin G 200,000 U/kg/day IV div. d.  10 days followed by abnormal CSF benzathine penicillin G 50,000 U/kg IM weekly  3 Age >1 yr normal CSF Benzathine penicillin G 50,000 U/kg IM weekly  3 Age >1 yr abnormal Aqueous crystalline penicillin G 200,000–300,000 U/kg/day IV or IM div. d.  10 CSF days followed by benzathine penicillin G 50,000 U/kg IM weekly  3 10 Pediatric Infectious Disease high-risk infants. Infants born to mothers with chickenpox in the perinatal period should be isolated from susceptible infants until 21 days postnatally (28 days if VZIG given).

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