A 1-year-old baby is being seen at the clinic because his parents are worried that he is always sick. The healthcare team is concerned that the baby may have a primary immunodeficiency (PI). Which assessment data would support a diagnosis of PI?
A) Four or more new ear infections within 1 year and failure to gain weight normally
B) One bout of pneumonia in a year and failure to gain weight normally
C) One month on antibiotics with little effect and failure to gain weight normally
D) One serious sinus infection in a year and failure to gain weight normally
A) Four or more new ear infections within 1 year and failure to gain weight normally
Explanation: A) The Jeffrey Modell Foundation and the American Red Cross have identified 10 warning signs of PI in an attempt to assist with early detection. If an individual has two or more of the following, a diagnosis of PI should be considered: four or more new ear infections within 1 year; two or more serious sinus infections within 1 year; two or more months on antibiotics with little effect; two or more pneumonias within 1 year; failure of an infant to gain weight or grow normally; recurrent, deep skin or organ abscesses; persistent thrush or fungal infection on skin; need for intravenous antibiotics to clear infection; two or more deep-seated infections including septicemia; a family history of PI.
B) The Jeffrey Modell Foundation and the American Red Cross have identified 10 warning signs of PI in an attempt to assist with early detection. If an individual has two or more of the following, a diagnosis of PI should be considered: four or more new ear infections within 1 year; two or more serious sinus infections within 1 year; two or more months on antibiotics with little effect; two or more pneumonias within 1 year; failure of an infant to gain weight or grow normally; recurrent, deep skin or organ abscesses; persistent thrush or fungal infection on skin; need for intravenous antibiotics to clear infection; two or more deep-seated infections including septicemia; a family history of PI.
C) The Jeffrey Modell Foundation and the American Red Cross have identified 10 warning signs of PI in an attempt to assist with early detection. If an individual has two or more of the following, a diagnosis of PI should be considered: four or more new ear infections within 1 year; two or more serious sinus infections within 1 year; two or more months on antibiotics with little effect; two or more pneumonias within 1 year; failure of an infant to gain weight or grow normally; recurrent, deep skin or organ abscesses; persistent thrush or fungal infection on skin; need for intravenous antibiotics to clear infection; two or more deep-seated infections including septicemia; a family history of PI.
D) The Jeffrey Modell Foundation and the American Red Cross have identified 10 warning signs of PI in an attempt to assist with early detection. If an individual has two or more of the following, a diagnosis of PI should be considered: four or more new ear infections within 1 year; two or more serious sinus infections within 1 year; two or more months on antibiotics with little effect; two or more pneumonias within 1 year; failure of an infant to gain weight or grow normally; recurrent, deep skin or organ abscesses; persistent thrush or fungal infection on skin; need for intravenous antibiotics to clear infection; two or more deep-seated infections including septicemia; a family history of PI.
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