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1 Feb 2015 75% of fatalities occur within six weeks of the onset of symptoms, but myocardial infarction and sudden death can occur months to years after the acute episode. Various clinical scoring systems exist to identify patients at high risk of poor coronary outcomes however these have not been validated in
Treatment. Children suspected with bacterial pneumonia should be treated with antibiotics. Antibiotics do not prevent pneumonia in children with upper respiratory tract infections. In contrast to pneumococcal meningitis, respiratory infections with pneumococci with reduced susceptibility to
1 Jul 2005 The clinical signs of shock in any individual child are the result of a combination of many complex body responses. Shock may occur as the result of hypovolaemia (fluid loss or redistribution within the body) or cardiac dysfunction. Hypovolaemic shock is most common in children due to such causes as
Symptoms and signs of meningitis vary with age, duration of illness and the child's response to infection. Findings in neonates See Starship Clinical Guideline on Coma; If there are localizing neurological signs, consider herpes encephalitis, TB meningitis or cerebral abscess. Previous
Starship Children's Health Clinical Guideline Clinical Diagnosis. Symptoms and signs of meningitis vary with age, duration of illness and the child's response to infection. Findings in neonates may be minimal, and in children There are no clinical signs which reliably distinguish between bacterial and viral meningitis.
1 Mar 2010 Meningococcaemia may also present as clinical meningitis whose signs are indistinguishable from those of acute meningitis caused by Haemophilus influenzae and Streptococcus Children who present as clinical meningitis, or in shock, should be managed according to the appropriate guidelines.
Updated Jun 2016 Meningitis; Updated Mar 2010 Meningococcaemia; Updated Nov 2016 Metabolic Disease · Methamphetamine Decontamination (pdf, 88.81KB) · Morphine administration; Updated Feb 2017 Mother and Baby Unit - management of admitted infants; Updated Jan 2017 Muscle and Skin Biopsy. Guidelines
20 Feb 2017 When assessing children with Influenza-like illness consideration needs to be given to the possibility of influenza with a secondary bacterial infection (e.g. pneumococcal or staphylococcal disease) or bacterial infection with non-specific symptoms presenting similarly to influenza such as meningococcal
1 Dec 2009 signs of rapid deterioration. If lumbar puncture is contra-indicated, then treatment for bacterial meningitis should be started immediately. Children with focal seizures, focal neurological abnormality, suspected encephalitis or contact with active herpetic disease should also be commenced on IV acyclovir.
1 Jan 2012 Although this constellation of symptoms is a fairly common presentation in paediatrics, the most serious cause is HSV encephalitis, which untreated has a mortality Bacterial meningitis; Viral meningo-encephalitis; Tuberculous meningitis; Parasitic; Immune mediated encephalitis; Demyelinating disorder

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March 2018