Dr. Bhaisara Baraturam Bhagrati
Pediatrics
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Patient's Query
Hello doctor,
My daughter is almost 11 weeks old and was admitted to the hospital before 17 days. Blood culture came back negative, but she tested positive for RSV and had bronchiolitis. She was discharged before 13 days and readmitted the next day. The primary physician did not like the way she was breathing. My daughter was pinched several times in the ER for a blood culture which the next day came back positive. The doctor performed additional culture as he believes the positive results were due to contamination. Blood culture came back negative. The 42-hour culture that tested positive appears to be staph aureus. She has had no fevers. One doctor suggests getting a central line and treating her for ten days. I am just looking for a second opinion as I do not see the logic in treating something they do not officially know she has.
Hello,
Welcome to icliniq.com.
I can understand your concern. Culture positive for Staphylococcus Aureus infection needs treatment. A central line is advised and when it is difficult to get, a peripheral line or prolonged course of treatment is needed. Even if the baby is not having a fever (which is a good sign), the antibiotic course needs to be completed, as half a course of antibiotics leads to more complications like drug resistance or partially treated meningitis. If resources are limited in the setting, we also consider clinical findings like if the baby is tolerating feed well, weight gain present, no fever, looking well, and hemodynamically stable. If all are there then usually we consider them. It is possible that not always you get the cause, but when the child is having symptoms, we have to treat it, initially with empiric medication and simultaneously look for the cause.
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Pediatrics
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