Omphalitis: Difference between revisions
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#Surgical consultation as indicated | #Surgical consultation as indicated | ||
Revision as of 07:57, 3 March 2014
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