INFANTS
1. GBS
2. Gram negatives (Ecoli)
3. Listeria
Name of preferred treatment for pinworm
Pyrantel pamoate & Albendazole
Repeat tx in 2 weeks. Treat family members & hygiene practices
Children must meet these criteria with GAS pharyngitis or impetigo
Be on antibiotics for 24 hours and afebrile
MMR and VZV count toward your vaccine series starting at this age
12-15 months
Can receive MMR starting at 6 months if traveling to a measles-endemic country or post-exposure ppx; however, it does not count toward vaccination series
Renowned vaccine researcher, clinician, and mentor. They retired in 2022 and VUMC established a society to honor their legacy
Dr. Kathryn Edwards
Infants can be colonized with this traditionally pathologic bacteria in their gut
Clostridium difficile
Carriage rates 37% for infants 0-1 month and 30% between 1- 6 months. They may lack the cellular machinery to bind and process the toxins. NO ANTIBIOTICS
Why should Cefdinir NOT be given for AOM?
It does not reach therapeutic concentrations for AOM
2. Azithromycin
Age at which it is recommended to administer Tdap/Td instead of DTaP/DT
7 years old
Pediatric formulations have 3-5x the amount of diphtheria component as the adult.
TN-native, former PIDS president, and former chief resident and fellow at Vanderbilt. Now leads the Vanderbilt Vaccine Research Program
Dr. Buddy Creech
Ophthalmia neonatorum occurring in the 1st week is most likely _______ and the 2nd week of life is _______.
Gonorrhea, Chlamydia
Concern for either warrants a full septic workup
Gonorrhea: Tx Ceftriaxone
Chlamydia: Azithromycin x 3d
This is the minimum age you should consider GAS as the etiology of pharyngitis
3 years of age
Measles is infectious ___ days before and ___ days after onset of rash
1. 4
2. 4
Children with these conditions are considered a special population and should receive meningococcal vaccination
Those with cochlear implants, asplenia/functional asplenia, & HIV
Name 1 of the 2 women with expertise in antimicrobial stewardship
Dr. Sophie Katz
Dr. Ritu Banerjee
The most concerning side effect from the treatment of congenital CMV
Neutropenia from Valganciclovir
Treat through 6 months of life to prevent SNHL and neurodevelopmental deficits
This antibiotic can sometimes be used to treat uncomplicated cystitis but never for pyelonephritis
Nitrofurantoin
These 2 gastrointestinal infections require handwashing as alcohol-based hand sanitizers are insufficient to prevent transmission
1. C. difficile
2. Norovirus
Whole extremity swelling (at the site of injection) can occur with a booster of this vaccination
An acellular pertussis vaccine (DTaP)
Special research focus on osteomyelitis, inflammation, and microbiome
Dr. Jim Cassat
For infants with any maternal syphilis exposure, serial RPR titers are repeated at this frequency until negative by 6 months of age
Every 2-3 months
If still positive at 6 months of age, the infant needs to be readmitted for a full syphilis eval (including CSF VDRL)
Photosensitivity is most common with these classes of antibiotics
1. Fluoroquinolones
2. Tetracyclines
3. TMP/SMX
Children can return to school/daycare this long after infection with Hepatitis A
1 week after onset of illness
List 3 HPV types that are considered high-risk as they are attributable to cervical and invasive cervical cancers
16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68
The PI of the Vanderbilt site of the New Vaccine Surveillance Network and investigating high-dose influenza vaccine in stem cell recipients.
Dr. Natasha Halasa