Omphalitis: Difference between revisions
| Line 27: | Line 27: | ||
==Disposition== | ==Disposition== | ||
*Admit if febrile or ill appearing | *Admit if febrile or ill appearing | ||
* | *Consider discharge if very mild case and excellent follow-up assured | ||
==References== | ==References== | ||
Revision as of 07:04, 30 August 2015
Background
- acute infection of umbilical stump
- rare
- can progress to severe cellulitis of abdominal wall, necrotizing fasciitis, sepsis
Clinical Features
- erythema of skin around umbilical stump
- purulent drainage
- fever
Differential Diagnosis
Diagnosis
- 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
- Antibiotics
- Surgical consultation as indicated
Disposition
- Admit if febrile or ill appearing
- Consider discharge if very mild case and excellent follow-up assured
References
Harwood Nuss, EMedicine