the Centor Criteria has a negative Absence of a cough value of 80% Current pyrexia > 38oC Treatment If an antibiotics is indicated Phenoxymethylpenicillin QDS for 10 days Clarithromycin (if the person is allergic to penicillin) bd for 5 days See BNF or PGD for doses Children’s Tonsillitis Care Pathway Urinary Tract Infection Guidelines A urinary tract infection (UTI) is one of the most significant bacterial infections in childhood. Consider a UTI in children with the following symptoms:- Age group Symptoms and signs Most common ------------------> Least common Infants younger than 3 months Fever Poor feeding Abdominal pain Vomiting Failure to thrive Jaundice Lethargy Haematuria Irritability Offensive urine Infants and children, Preverbal Fever Abdominal pain Lethargy 3 months or older Loin tenderness Irritability Vomiting Haematuria Poor feeding Offensive urine Failure to thrive
Absence of a cough Current pyrexia > 38oC the Centor Criteria has a negative value of 80% Treatment If an antibiotics is indicated Phenoxymethylpenicillin QDS for 10 days Clarithromycin (if the person is allergic to penicillin) bd for 5 days See Children’s BNF or PGD for doses Tonsillitis Care Pathway Urinary Tract Infection Guidelines A urinary tract infection (UTI) is one of the most significant bacterial infections in childhood. Consider a UTI in children with the following symptoms:- Age group Symptoms and signs Most common ------------------> Least common Infants younger than 3 months Fever Vomiting Lethargy Irritability Poor feeding Failure to thrive Abdominal pain Jaundice Haematuria Offensive urine Infants and children, 3 months or older Preverbal Fever Abdominal pain Loin tenderness Vomiting Poor feeding Lethargy Irritability Haematuria Offensive urine Failure to thrive