Med-Source provides you with the resources you need to save time, and get some sleep during med school.
  • Use the search box and labels to the right to navigate to relevant posts. Click here to see what's new.
  • Have questions, suggestions or want to share some great sites or resources? Please feel free to leave comments or e-mail me.

Neonatal fever - Initial Assessment

  • Definition = temperature > 38.0°C or 100.4°F
  • All febrile infants up to age 56 days undergo a sepsis workup:
    • CBC, blood culture
    • Urinalysis, urine culture
    • Lumbar puncture with cell count, Gram stain, glucose, protein, culture, +/- HSV PCR
    • Chest X-ray if respiratory distress
  • Age 0-4 wks
    • ADMISSION and IV antibiotics, regardless of physical exam, for 48h
    • If LP negative: ampicillin, gentamicin, +/- acyclovir
    • If LP positive: ampicillin, cefotaxime, +/- acyclovir
  • Age 4-8 wks
    • If well-appearing with normal exam and unremarkable labs, discharge home with antibiotics and CLOSE PMD FOLLOW-UP
    • If ill-appearing, concern based on exam findings, or positive labs*, admit and treat with vancomycin and cefotaxime
      • *Positive labs are defined as:
        CBC has WBC > 15,000 or <> 0.2
        LP shows CSF pleiocytosis
        Urinalysis > 10 WBCs
        Positive CXR findings

1 comment:

Anonymous said...

http://occupynewjersey.org/?q=node/43871

http://www.rantingandventing.com/grace/forum/topic.php?id=118835&replies=1#post-122176

http://vastcodes.com/bb/topic/wwwhermesoutletusacom-521355?replies=1#post-54405

http://www.seniorernas.se/members/usavcpiix/activity/4251

http://www.ptakiniebieskie.org/blog/forum/topic.php?id=6848&page&replies#post-7008

http://gaeliccenter.com/forums/topic/wwwhoustontexansjerseyuscom-723?replies=1#post-125767

http://www.info-mami.ro/forum/topic.php?id=57916&replies=1#post-62590

http://slingle.com/?q=node/304608

http://www.warah.com.ar/clientes/aag/wp-content/plugins/bbpress/topic.php?id=3905&replies=1#post-4675

http://www.boattripsonline.com/content/wwwlouisvuittonoutletukusacom-fj1605

http://uppity.refugeecamp.us/bbpress/topic.php?id=87357#post-89125

http://ads.classified.xxx/bbpress/topic.php?id=18708&replies=1#post-20328

http://theministerstoolkit.com/members/usachvnnf/activity/87226

http://foothillsustainability.org/members/usalranvpcv/activity/4993/

http://stopzenith.com/forum/topic.php?id=3456#post-4249

http://www.raocnorth.com/forum/topic.php?id=257102&replies=1#post-277475

http://eduskimple.org/dk/?q=node/59263

http://www.cnt-online.org/forum/topic.php?id=13767#post-15477

http://www.fmsfinancesociety.com/forum/topic.php?id=43993&replies=1#post-49587

http://workdvr.com/forums/bbpress/topic.php?id=68005&replies=1#post-76533