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Travel-Related Illnesses in Children

Pediatric EM Morsels

A “Syndromic” Approach for Diagnosing and Managing Travel-Related Infectious Diseases in Children. Internationally Acquired Severe Systemic Infections in Febrile Pediatric Travelers Presenting to the Emergency Department. Pediatr Emerg Care. Glob Pediatr Health. 2021 May; 8:1-16. 2015 Aug; 45(8): 231–243.

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Settling the Cefepime versus Piperacillin-Tazobactam Debate

ACEP Now

If you work in the emergency department, you’re out there in the trenches “suspecting sepsis” on a daily basis. These are among the questions at the forefront in the exciting world of infectious disease. He is the Annals of Emergency Medicine podcast co-host and Journal Club editor. JAMA Netw Open.

Sepsis 64
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PEMPix 2023 Online Case 3: The Only Thing We Have to Fear

PEMBlog

Initially in the emergency department he was generally well-appearing with normal vital signs. rectally, prompting a sepsis workup given his age. The patient was ultimately discharged on a seven-day total course of cephalexin per Pediatric Infectious Disease recommendations. Labs were notable for: WBC 9.1

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Diagnostics: Inflammatory Markers

Taming the SRU

While PCT may be more specific for bacterial infections, it is flawed by still being rather non-specific and is not validated as a stand-alone diagnostic criteria for infection in the setting of the emergency department. In 7 studies with 4164 patients, PCT with a cut-off > 0.1 ng/mL (strongly recommended against antibiotics), 0.1-0.25

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

Taming the SRU

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). Scandinavian journal of infectious diseases , 45 (9), 657–663. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America , 39 (9), 1267–1284.

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Diagnosing Lower Urinary Tract Infections

ACEP Now

Patients with flank pain (which would suggest pyelonephritis) as well as patients meeting two or more SIRS criteria (which would suggest sepsis) comprise a higher risk group. Clinical Infectious Diseases. For simplicity, we will focus only on the patients with suspected lower urinary tract infection (UTI). 2012;55(6):771-777.

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Going beyond the surface material: A podcast episode on cellulitis

PEMBlog

Camargo, Clinical Trial: Comparative Effectiveness of Cephalexin Plus Trimethoprim-Sulfamethoxazole Versus Cephalexin Alone for Treatment of Uncomplicated Cellulitis: A Randomized Controlled Trial, Clinical Infectious Diseases, Volume 56, Issue 12, 15 June 2013, Pages 1754–1762, [link] Liu C, Bayer A, Cosgrove SE, et al.