By ULY CLINIC Staff,
Septicemia in children
This is a severe blood stream infection associated with toxaemia manifesting with target organ dysfunction.
Diagnostic Criteria
Fever or hypothermia with;
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General danger signs
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Signs of septic shock
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Target organ dysfunction (DIC, AKI, encephalopathy, hepatic dysfunction)
Investigations
Perform septic screen including but not limited to
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Blood for culture and sensitivity
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Urinalysis
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Urine culture
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FBP
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Renal function tests
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Liver function tests
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CRP
Treatments
Non Pharmacological Treatment
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Encourage breastfeeding and ensure adequate fluid and calorie intake.
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Give Oxygen 1-2L/min
Pharmacological Treatment
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Cloxacillin IV 50mg/kg 6 hourly if Staphylococcal infection is suspected.egday for 10 days ADD Give Ampicillin IV 50mg/kg 6 hourly and Gentamicin IV 7.5mg/kg once a presence of impetigo or abscess
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Give Paracetamol PO 15mg/kg if high fever (temperature ≥38.5°C)
Note:
If no improvement give specific antibiotics depending on culture and sensitivity pattern
Last updated on 06.09.2020
References
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Tanzanian Standard treatment guideline for children 2017 edition page 84