Omphalitis - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T23:49:42Z

Prepared the page for translation

← Older revision		Revision as of 23:49, 4 January 2026
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			<languages/>
			<translate>

	==Background==		==Background==

	*Acute infection of umbilical stump		*Acute infection of umbilical stump
	*Rare		*Rare


	==Clinical Features==		==Clinical Features==

	*Erythema of skin around umbilical stump		*Erythema of skin around umbilical stump
	*Purulent drainage		*Purulent drainage
	*[[Fever]]		*[[Special:MyLanguage/Fever\|Fever]]


	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Cellulitis]] of abdominal wall
	*[[Necrotizing fasciitis]]
	*[[Neonatal sepsis]]

			*[[Special:MyLanguage/Cellulitis\|Cellulitis]] of abdominal wall
			*[[Special:MyLanguage/Necrotizing fasciitis\|Necrotizing fasciitis]]
			*[[Special:MyLanguage/Neonatal sepsis\|Neonatal sepsis]]

			</translate>
	{{Neonatal rashes DDX}}		{{Neonatal rashes DDX}}
			<translate>


	==Evaluation==		==Evaluation==

	*CBC, BMP		*CBC, BMP
	*Blood cultures		*Blood cultures
	*Septic workup if febrile neonate ([[UA]], [[CXR]], [[LP]])		*Septic workup if febrile neonate ([[Special:MyLanguage/UA\|UA]], [[Special:MyLanguage/CXR\|CXR]], [[Special:MyLanguage/LP\|LP]])
	*Imaging (ultrasound or CT) as indicated		*Imaging (ultrasound or CT) as indicated


	==Management==		==Management==

	*IV fluids NS 20mL/kg bolus if ill appearing		*IV fluids NS 20mL/kg bolus if ill appearing
	*[[Antibiotics]]		*[[Special:MyLanguage/Antibiotics\|Antibiotics]]
	**[[Gentamycin]]		**[[Special:MyLanguage/Gentamycin\|Gentamycin]]
	**[[Ampicillin]]		**[[Special:MyLanguage/Ampicillin\|Ampicillin]]
	**[[Vancomycin]]		**[[Special:MyLanguage/Vancomycin\|Vancomycin]]
	**Consider [[clindamycin]] or [[metronidazole]] if concern for [[anaerobes]]		**Consider [[Special:MyLanguage/clindamycin\|clindamycin]] or [[Special:MyLanguage/metronidazole\|metronidazole]] if concern for [[Special:MyLanguage/anaerobes\|anaerobes]]
	*Surgical consultation as indicated		*Surgical consultation as indicated


	==Disposition==		==Disposition==

	*Admit if febrile or ill appearing		*Admit if febrile or ill appearing
	*Consider discharge if very mild case and excellent follow-up assured		*Consider discharge if very mild case and excellent follow-up assured


	==References==		==References==

	Harwood Nuss, EMedicine		Harwood Nuss, EMedicine

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	[[Category:GI]]		[[Category:GI]]
	[[Category:ID]]		[[Category:ID]]
			</translate>

Rossdonaldson1: /* Management */

2020-03-05T19:25:53Z

Management

← Older revision		Revision as of 19:25, 5 March 2020
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	**[[Ampicillin]]		**[[Ampicillin]]
	**[[Vancomycin]]		**[[Vancomycin]]
	**Consider [[clindamycin]] or [[metronidazole]] if concern for [[~~anaeorobes~~]]		**Consider [[clindamycin]] or [[metronidazole]] if concern for [[anaerobes]]
	*Surgical consultation as indicated		*Surgical consultation as indicated

Rossdonaldson1: /* Management */

2020-03-05T19:24:18Z

Management

← Older revision		Revision as of 19:24, 5 March 2020
Line 27:		Line 27:
	**[[Ampicillin]]		**[[Ampicillin]]
	**[[Vancomycin]]		**[[Vancomycin]]
	**[[clindamycin or metronidazole if concern for anaeorobes]]		**Consider [[clindamycin]] or [[metronidazole]] if concern for [[anaeorobes]]
	*Surgical consultation as indicated		*Surgical consultation as indicated

TSantos1: Addition of antibiotics for more comprehensive management

2020-03-03T13:26:26Z

Addition of antibiotics for more comprehensive management

← Older revision		Revision as of 13:26, 3 March 2020
Line 27:		Line 27:
	**[[Ampicillin]]		**[[Ampicillin]]
	**[[Vancomycin]]		**[[Vancomycin]]
			**[[clindamycin or metronidazole if concern for anaeorobes]]
	*Surgical consultation as indicated		*Surgical consultation as indicated

ClaireLewis: /* References */

2019-10-06T19:21:03Z

References

← Older revision		Revision as of 19:21, 6 October 2019
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	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:GI]]		[[Category:GI]]
			[[Category:ID]]

Spenceemmett: /* Evaluation */

2018-10-10T16:36:15Z

Evaluation

← Older revision		Revision as of 16:36, 10 October 2018
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	==Evaluation==		==Evaluation==
	*CBC, BMP		*CBC, BMP
	*~~blood~~ cultures		*Blood cultures
	*~~septic~~ workup if febrile neonate ([[UA]], [[CXR]], [[LP]])		*Septic workup if febrile neonate ([[UA]], [[CXR]], [[LP]])
	*~~imaging~~ (ultrasound or CT) as indicated		*Imaging (ultrasound or CT) as indicated

	==Management==		==Management==

Spenceemmett: /* Background */

2018-10-10T16:35:34Z

Background

← Older revision		Revision as of 16:35, 10 October 2018
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	==Background==		==Background==
	*~~acute~~ infection of umbilical stump		*Acute infection of umbilical stump
	*~~rare~~		*Rare

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Evaluation */

2016-12-19T10:24:21Z

Evaluation

← Older revision		Revision as of 10:24, 19 December 2016
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	*CBC, BMP		*CBC, BMP
	*blood cultures		*blood cultures
	*septic workup if febrile neonate (UA, CXR, LP)		*septic workup if febrile neonate ([[UA]], [[CXR]], [[LP]])
	*imaging (ultrasound or CT)~~ ~~as indicated		*imaging (ultrasound or CT) as indicated

	==Management==		==Management==

Rossdonaldson1: /* Clinical Features */

2016-12-19T10:24:00Z

Clinical Features

← Older revision		Revision as of 10:24, 19 December 2016
Line 4:		Line 4:

	==Clinical Features==		==Clinical Features==
	*~~erythema~~ of skin around umbilical stump		*Erythema of skin around umbilical stump
	*~~purulent~~ drainage		*Purulent drainage
	*~~fever~~		*[[Fever]]

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Differential Diagnosis */

2016-12-19T09:42:29Z

Differential Diagnosis

← Older revision		Revision as of 09:42, 19 December 2016
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	*[[Necrotizing fasciitis]]		*[[Necrotizing fasciitis]]
	*[[Neonatal sepsis]]		*[[Neonatal sepsis]]

			{{Neonatal rashes DDX}}

	==Evaluation==		==Evaluation==