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Wando Mount Pleasant Library
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Managing the deteriorating child with suspected group A Streptococcus infection.
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- Author(s): Kempsell-Smith, Mark; Fitzsimons, Claire
- Source:
Nursing Children & Young People; 11/2/2023, Vol. 35 Issue 6, p35-42, 8p- Subject Terms:
STREPTOCOCCAL disease diagnosis; INTENSIVE care units; HOSPITAL emergency services; FEVER; INTRAVENOUS therapy; NASAL cannula; CHILDREN'S hospitals; STREPTOCOCCAL diseases; CONTINUING education units; PEDIATRICS; SEPSIS; ARTIFICIAL respiration; TREATMENT effectiveness; RESPIRATORY therapy; OXYGEN therapy; HEMODYNAMICS; TOXIC shock syndrome; NECROTIZING fasciitis; ANTIBIOTICS; TRACHEA intubation; SYMPTOMS; DISEASE complications; CHILDREN - Source:
- Additional Information
- Abstract: Why you should read this article: • To enhance your awareness of the signs and complications of group A Streptococcus infection in children • To refine your knowledge of the management of children with severe group A Streptococcus infection • To contribute towards revalidation as part of your 35 hours of CPD (UK readers) • To contribute towards your professional development and local registration renewal requirements (non-UK readers) Group A Streptococcus bacteria can cause various pyogenic infections such as tonsillitis, pharyngitis, scarlet fever, impetigo, erysipelas, cellulitis and pneumonia. Most group A Streptococcus infections in children are mild and respond positively to treatment with antibiotics. However, some children develop severe infection accompanied by complications such as sepsis and will require urgent treatment, which may include non-invasive or invasive ventilation and the administration of fluids and vasoactive agents. In some instances, for example if there are no beds available in the paediatric intensive care unit, these interventions may be undertaken in a ward setting. This article gives an overview of group A Streptococcus infection, including two rare but severe complications, streptococcal toxic shock syndrome and necrotising fasciitis. It uses a fictionalised case study to examine the management of the deteriorating child with suspected group A Streptococcus infection, including respiratory support, haemodynamic support and symptom management. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Nursing Children & Young People is the property of RCNi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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