Omphalitis: Difference between revisions
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
==Background== | |||
*acute infection of umbilical stump | *acute infection of umbilical stump | ||
*rare | *rare | ||
*can progress to severe cellulitis of abd wall, necrotizing fasc, sepsis | *can progress to severe cellulitis of abd wall, necrotizing fasc, sepsis | ||
==Clinical Features== | |||
#erythema of skin around umbilical stump | |||
#purulent drainage | |||
#fever | |||
==Workup== | |||
*CBC, BMP | *CBC, BMP | ||
*blood cultures | *blood cultures | ||
| Line 18: | Line 15: | ||
*imaging (ultrasound or CT) as indicated | *imaging (ultrasound or CT) as indicated | ||
==Treatment== | |||
#IV fluids NS 20mL/kg bolus if ill appearing | |||
#Abx | |||
##Gentamycin | |||
##Ampicillin | |||
##Vancomycin | |||
#Surgical consultation as indicated | |||
==Disposition== | |||
#admit if febrile or ill appearing | |||
# | #consider d/c if very mild case and excellent follow-up assured | ||
==Source== | |||
Harwood Nuss, EMedicine | Harwood Nuss, EMedicine | ||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:GI]] | |||
Revision as of 18:33, 14 September 2012
Background
- acute infection of umbilical stump
- rare
- can progress to severe cellulitis of abd wall, necrotizing fasc, sepsis
Clinical Features
- erythema of skin around umbilical stump
- purulent drainage
- fever
Workup
- CBC, BMP
- blood cultures
- septic workup if febrile neonate (UA, CXR, LP)
- imaging (ultrasound or CT) as indicated
Treatment
- IV fluids NS 20mL/kg bolus if ill appearing
- Abx
- Gentamycin
- Ampicillin
- Vancomycin
- Surgical consultation as indicated
Disposition
- admit if febrile or ill appearing
- consider d/c if very mild case and excellent follow-up assured
Source
Harwood Nuss, EMedicine