Omphalitis: Difference between revisions
(Created page with "'''Background''' *acute infection of umbilical stump *rare *can progress to severe cellulitis of abd wall, necrotizing fasc, sepsis '''Clinical Features''' *erythema of sk...") |
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*Abx | *Abx | ||
#Gentamycin | #Gentamycin | ||
#Ampicillin | #Ampicillin | ||
#Vancomycin | #Vancomycin | ||
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*consider d/c if very mild case and excellent follow-up assured | *consider d/c if very mild case and excellent follow-up assured | ||
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'''Source''' | |||
Harwood Nuss, EMedicine | |||
Peds | [[Category:Peds]] | ||
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Revision as of 18:16, 8 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