JournalFeed week in review - was it a POCUS hate train this week? Maybe not…
Influenza killed 675 children from the 2010-11 flu season to the 2015-16 season. Infants under 6 months had the highest incidence of mortality. Encourage everyone to get vaccinated. Antiviral treatment is encouraged in all children under 2, all patients with severe illness, and all hospitalized patients regardless of whether or not the duration of illness exceeds 48 hours.
Bacteremia and bacterial meningitis occurred in 3.1% and 1.3% of infants </=28 days, respectively; 1.1% and 0.2% of infants 29-60 days, respectively. With a 1/500 chance of bacterial meningitis in infants 29-60 days, reasonable physicians may disagree on the merits of the lumbar puncture in this group.
Don't be falsely reassured if rhinovirus on a PCR viral panel is positive. The incidence of UTI was unchanged if </= 90 days, and the incidence of invasive bacterial infection (IBI) was no different </= 28 days. However, it may prove useful for risk stratifying infants for IBI in the 29 to 90-day age group.
One of the most challenging things to memorize is what antibiotics cover what organisms. This infographic can help. If you can't view it, click this to see it online. Please share with friends who may find it helpful.