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Articles
Paracentesis

…should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often lacks abdominal pain and peritonism and instead presents as encephalopathy, renal failure or simply deterioration…

Lumbar puncture

…the right place. In suspected bacterial meningitis it is the time to antibiotics that saves the patient — the puncture must never delay it. Indications Suspected…

Joint aspiration

…slightest suspicion of septic arthritis. If the picture is unclear — aspirate, send a culture, await the result and inject later. Preparation and equipment Chlorhexidine in…

Abscess incision and drainage

…G and 21 G needles. Irrigation fluid (NaCl 9 mg/mL) and a 20 mL syringe. Culture swab, microbiology request form. Drainage material: rubber dam…

Leg ulcers — wound debridement and compression therapy

…Culture only in the presence of clinical signs of infection — all chronic wounds are colonised, and a culture taken without clinical suspicion leads only to…

Neutropenic fever: quick reference for emergency management

…emergency. Infection can progress rapidly, while the typical local signs of inflammation may be faint or absent. Take cultures immediately, but never let sampling, imaging…

Pericardiocentesis

…Sample tubes for cell count, chemistry, culture and cytology, and blood culture bottles. Intravenous fluid and a vasopressor prepared. The patient is positioned semi recumbent…

Pleural aspiration and chest drain

…artery forceps. Sample tubes according to the table below, and blood culture bottles. Suction and oxygen to hand. The patient sits leaning forward with the…

Sepsis and septic shock: quick reference for the first hour

…the time of the suspicion of sepsis, the first dose of antibiotic, the cultures, the fluid bolus and the start of the vasopressor. Time Action : :…

Cardiac arrest during sepsis

…vasopressor therapy . Potential vasopressor agents include: Norepinephrine Phenylephrine Vasopressin Prioritize the collection of blood cultures to identify potential pathogens and guide antimicrobial therapy. Administer broad…

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