Curbside Consultation in Pediatric Infectious Disease : 49 Clinical Questions.

Cover -- Series -- Title -- Copyright -- Dedication -- Contents -- Acknowledgments -- About the Editor -- Contributing Authors -- Preface -- Foreword -- Introduction -- Section I Urinary Tract Infection -- Question 1 Is It Appropriate to Treat a Suspected Urinary Tract Infection Based on an In-Office Urine Dipstick Result, or Should the Specimen Be Sent for Culture? Does the Age of the Patient Have Anything to Do With the Decision? -- Question 2 When Should You Attempt to Obtain a Catheter Specimen Versus a Clean Catch Specimen in the Setting of a Suspected Urinary Tract Infection? -- Question 3 When Is Imaging, Such as Voiding Cystourethrogram and Renal Ultrasound, Necessary for Children With a First Urinary Tract Infection? -- Question 4 Is Prophylaxis Recommended for All Patients With Vesicoureteral Reflux? -- Section II Methicillin-Resistant Staphylococcus aureus -- Question 5 When Is Oral Antibiotic Therapy Necessary in the Setting of Recurrent Methicillin-Resistant Staphylococcus aureus Skin Infection/Boils? -- Question 6 Are Bleach Baths or Chlorhexidine Plus Mupirocin Ointment Useful to Decolonize Patients With Recurrent Methicillin-Resistant Staphylococcus aureus Infections? What Topical Recommendations Are Useful for Patients With Recurrent Infections? -- Question 7 In What Settings Is Methicillin-Resistant Staphylococcus aureus Spread? -- Question 8 Are There Environmental Cleaning or Personal Hygiene Interventions That Can Be Used to Reduce Recurrences of Methicillin-Resistant Staphylococcus aureus Infections? -- Section III Tinea Capitis -- Question 9 How Long Does Tinea Capitis Need to Be Treated in Order to Be Sure the Infection Has Cleared? -- Question 10 What Are the Methods by Which Tinea Capitis Can Be Spread From Person to Person? -- Question 11 Do There Need to Be Visible Lesions to Diagnose Tinea Capitis?.

Question 12 What Organisms Are Responsible for Causing Tinea Capitis? -- Section IV Tick-Borne Illness -- Question 13 What Are the Best Prophylactic Measures to Tell Families to Use to Prevent Tick Bites? At What Age Are Agents Such as DEET and Picaridin Safe to Use? -- Question 14 When Are Tick-Borne Infections Typically Seen in the United States, and When Does the Peak Time Occur? -- Question 15 What Is the Best Empiric and/or Prophylactic Therapy for a Child in Whom You Suspect a Tick-Borne Infection? -- Question 16 In What Parts of the United States Is Lyme Disease Seen, How Is Diagnosis Confirmed, and What Is the Appropriate Treatment? -- Section V Atypical Pneumonia -- Question 17 Can You Make a Diagnosis of Atypical Pneumonia by Clinical Presentation or Is Laboratory Evaluation Required? -- Question 18 What Are the Most Common Ages, Presenting Symptoms, and Common Organisms Associated With Cases of Atypical Pneumonia? -- Section VI Otitis Media -- Question 19 What Is the Recommended Specific Treatment of Otitis Media Due to Multidrug-Resistant Pneumococcus? -- Question 20 When Should Middle Ear Effusion Fluid Be Obtained? -- Question 21 What Do You Do for a Patient Who Has Ear Tubes and Has Continuous Ear Drainage? -- Question 22 What Is the Recommended Specific Treatment of Acute Otitis Media Due to Multidrug-Resistant Pneumococcus? -- Section VII Pharyngitis -- Question 23 Is a Throat Culture Necessary in the Setting of a Negative Rapid Streptococcal Antigen Test? -- Question 24 What Is the Best Treatment Option for Group A Streptococcal Pharyngitis? What if the Patient Is Allergic to Beta-Lactam Antibiotics? -- Question 25 Why Do We Treat Streptococcal Pharyngitis When It Is a Self-Limited Illness? -- Question 26 Should I Treat the Asymptomatic Siblings of the Patient Who Has a Positive Rapid Streptococcal Antigen Test?.

Question 27 What Are the Best Clinical Indicators That My Patient May Have Streptococcal Pharyngitis? -- Section VIII Viral Testing -- Question 28 How Sensitive and Specific Are the Office-Based Rapid Respiratory Syncytial Virus and Rapid Influenza Tests? -- Question 29 If I Have a 3-Month-Old Infant in the Office With Respiratory Symptoms and Negative Viral Testing, Should I Proceed With a Sepsis Evaluation? -- Question 30 If I Have a 5-Week-Old Infant With Positive Rapid Viral Testing Who Does Not Need Hospital Admission, Is a Sepsis Evaluation Necessary? -- Section IX Diarrhea -- Question 31 When Are Antibiotics Indicated for a Child With a Bacterial Cause of Diarrhea? -- Question 32 What Are Likely to Be the Most Common Viral Pathogens Causing Diarrhea Since the Decrease in Rotavirus Cases With Increase in Vaccine Uptake? -- Section X Upper Respiratory Tract Infection/Sinusitis -- Question 33 When Should I Be Worried About Immune Deficiency in the Setting of Recurrent Upper Respiratory Tract Infections? -- Question 34 What Are the Most Common Viral Respiratory Pathogens in Infants in the First Year of Life? -- Question 35 What Antibiotics Are Recommended Empirically for Acute Bacterial Sinusitis in a Patient Who Has Not Received Antibiotics Recently? -- Question 36 What Antibiotics Are Recommended to Treat Acute Bacterial Sinusitis in the Patient Who Had a Course of Amoxicillin Within the Last Few Weeks for Otitis Media? -- Section XI Community-Acquired Pneumonia -- Question 37 What Is the Most Common Pathogen Involved in Community-Acquired Pneumonia, and the Empiric Therapy of Choice in the Preschool-Aged Child With Fever to 102°F, Rales, and a Lobar Infiltrate on Chest Radiograph? -- Question 38 When Should Concern Arise About Staphylococcus aureus in a Patient With Pneumonia? -- Section XII Epstein-Barr Virus/Cytomegalovirus.

Question 39 When Are Steroids Indicated in the Setting of Known Acute Epstein-Barr Virus Infection? -- Question 40 What Laboratory Test(s) Should Be Obtained in the Setting of Suspected Congenital Cytomegalovirus Infection? -- Question 41 When Should Serologic Testing Be Performed Instead of a Monospot, and How Do I Interpret Results of Epstein-Barr Virus Serologies? -- Question 42 What Should I Tell a Pregnant Mother of a 2 Year Old Who Has Recently Been Diagnosed With Congenital Cytomegalovirus Infection About Her Risk for Developing Infection as Well as Prevention Techniques? -- Section XIII Lymphadenopathy -- Question 43 A 13-Year-Old Female Presents With Symptoms of Cat Scratch Disease. What Is the Best Approach to the Diagnosis and the Preferred Management of a Patient With Cat Scratch Disease? -- Question 44 What Are the Most Common Pathogens and Empiric Treatment(s) of Choice in a Patient With Suspected Acute Bacterial Lymphadenitis? -- Section XIV Prolonged Fever -- Question 45 What Is the Differential Diagnosis in a 3-Year-Old Female With a 7-Day History of Fever, Red Eyes and Lips, Rash, and Swollen Hands? -- Question 46 What Imaging Evaluation Should I Consider in an 11-Year-Old Male With a 2-Week History of Fever and Complaints of Low Back Pain and a Progressive Limp? -- Section XV Candidiasis -- Question 47 A 5-Week-Old Infant Was Recently Diagnosed With Thrush and Treated With Nystatin for 10 Days Without Improvement. Should I Obtain a Culture of the Infant's Mucosa and Change His Therapy? What Other Problems Should I Be Thinking About in This Setting? -- Section XVI Recurrent Fever -- Question 48 What Diagnostic Testing, If Any, Should Be Performed for a Normally Developing Toddler Who Attends a Day Care Center, Develops Frequent Fevers, and Commonly Has Respiratory Tract Symptoms? What Is the Most Common Reason for This Presentation?.

Question 49 A 2-Year-Old Patient Has Had Recurrent Fevers for the Last Year. He Often Has a Red Throat, Adenopathy, and Stomatitis With His Fevers. I Am Concerned About Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Cervical Adenitis Syndrome. What Are the Treatment Options for This Diagnosis? -- Financial Disclosures -- Index.

Curbside Consultation in Pediatric Infectious Disease: 49 Clinical Questions provides quick answers to the tricky questions most commonly posed during a "curbside consultation" between pediatricians.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.