By ULY CLINIC Staff,

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Septicemia in children

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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

• Signs of septic shock

• Target organ dysfunction (DIC, AKI, encephalopathy, hepatic dysfunction)

 

Investigations

Perform septic screen including but not limited to

• Blood for culture and sensitivity

• Urinalysis

• Urine culture

• FBP

• Renal function tests

• Liver function tests

• CRP

Treatments

Non Pharmacological Treatment

 

• Encourage breastfeeding and ensure adequate fluid and calorie intake.

• Give Oxygen 1-2L/min

Pharmacological Treatment

 

• 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

•  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

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Last updated on 06.09.2020

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References

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1. Tanzanian Standard treatment guideline for children 2017 edition page 84