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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. The use of oral temafloxacin compared with a parenteral cephalosporin in hospitalized patients with pneumonia. Lancet 2004; 364: 1141-8. 1997; 24(3):457-67. PMID: 9114201 Siegel RE et al.

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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Taming the SRU

2018) Epidemiology of lumbar punctures in hospitalized patients in the United States. Scandinavian journal of infectious diseases , 45 (9), 657–663. Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases , 22 Suppl 3 , S37–S62.

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The resurgence of vaccine preventable infections: Measles and Pertussis

Don't Forget the Bubbles

Whooping Cough: A Cyclical but Preventable Disease Whooping cough, caused by the bacterium Bordetella pertussis , is another infectious disease experiencing a resurgence despite the availability of vaccines. These outbreaks increase the risk of imported cases in other regions, including the UK.

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Diagnostics: Inflammatory Markers

Taming the SRU

In a small study involving 79 hospitalized children, PCT was found to be elevated in bacterial infections, with a decrease after appropriate antibiotic therapy, and decreased in viral infections [24]. . + Procalcitonin (PCT) Etiology: PCT was first discovered in 1984. However, it was not until a 1993 study that its significance was realized.

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REBEL Core Cast 122.0 – Neutropenic Fever

RebelEM

Follow your hospital’s protocol (if available). High Risk Patients will need hospitalization and IV antibiotics. Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the infectious diseases society of america, Clinical Infectious Diseases, 2011, 52(4):e56-93.

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Traveling Ticks: Tickborne Illnesses and International Travel

Pediatric EM Morsels

Jensenius 2004) Let’s take a moment to review Tickborne Illnesses and International Travel : Tickborne Illnesses and Major Rickettsial Diseases: Basics Most of these illnesses are acquired from exposure to a rural area during travels including camping, hiking, safaris, and livestock.

CDC 164
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Antibiotics in the paediatric emergency department

Don't Forget the Bubbles

Conventionally IV antibiotics have been limited to in-hospital use. However, the Intravenous ceftriaxone at home versus intravenous flucloxacillin in hospital for children with cellulitis” ( CHOICE ) randomised control trial challenged this dogma. Randel A, Infectious Disease Society of America. Med J Aust. The Lancet.