Control Infection Source
History and physical, infection source control
Review of detailed H&P findings, imaging studies, and laboratory data may identify an infectious source. Prompt involvement of appropriate consultants for urgent definitive therapy (drainage, debridement, surgical intervention) may be warranted. Adjust antibiotic therapy based on identification of suspected infectious source.
Detailed H&P to identify potential source of infection
HPI |
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PMH |
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Full PE |
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Imaging studies and procedures to identify potential source of infection
The following studies may be indicated based upon H&P findings:
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Head CT, sinus CT
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Lumbar puncture
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Chest X-ray, chest CT scan, pleural ultrasound
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Echocardiogram, vascular ultrasound (to identify endocarditis or Lemierre’s)
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Abdominal ultrasound, abdominal CT
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Joint ultrasound
Retrieved from: http://www.chop.edu/clinical-pathway/icu-clinical-pathway-infants-28-days-and-children-severe-sepsisseptic-shock-history
These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly these guidelines should guide care with the understanding that departures from them may be required at times.