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Occult bacteraemia - Coggle Diagram
Occult bacteraemia
Signs + Sx
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Children with apparent focal disease (cough, dyspnea, pul crackles, skin erythema) are excluded
A toxic appearance (limpness, listlessness, lethargy, signs of poor perfusion, cyanosis, hypoventilation or hyperventilation) suggests sepsis or septic shock hence not occult
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Tx
caregivers should be advised to monitor child's sx, give antipyretics, + follow up with clinician
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ensure adequate hydration, oral if possible
reexamine in 24-48 hrs - if persistent fever or +ve blood/ urine cultures + not txed already: more cultures done + are hospitalised for evaluation of possible sepsis + parenteral antibiotics
children 3-36mo
seen more in era prior to vaccines (PCV, Men, Hib)
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has become rare except in nonimmunised children, or children with immunodeficiency
infants <3mo
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late-onset (infection occurring at > 7 days of age) GBS is not affected by chemoprophylaxis during labour, + other serious bacterial illnesses such as UTI (most commonly caused by E coli) and occasional cases of Salmonella
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Intro
Presence of bacteria in bloodstream of febrile young children who have no apparent foci of infection + look well