Question

A 3-year-old child in a rural clinic develops fever, petechial rash and signs of septic shock. Meningococcal disease is suspected. Retrieval to a tertiary centre has been arranged but will take 90 minutes. What is the most appropriate immediate management?

Accepted Answer

Give intramuscular or intravenous benzylpenicillin immediately and supportive care while awaiting transfer

Answer

Observe until retrieval arrives

Answer

Delay antibiotics until blood cultures are taken at the tertiary centre

Answer

Give oral penicillin only

Answer

Reassure parents and arrange outpatient follow-up

Practice question

A 3-year-old child in a rural clinic develops fever, petechial rash and signs of septic shock. Meningococcal disease is suspected. Retrieval to a tertiary centre has been arranged but will take 90 minutes. What is the most appropriate immediate management?