Go offline with the Player FM app!
Pediatric Fever
Archived series ("Inactive feed" status)
When? This feed was archived on April 19, 2019 07:10 (). Last successful fetch was on February 08, 2018 18:20 ()
Why? Inactive feed status. Our servers were unable to retrieve a valid podcast feed for a sustained period.
What now? You might be able to find a more up-to-date version using the search function. This series will no longer be checked for updates. If you believe this to be in error, please check if the publisher's feed link below is valid and contact support to request the feed be restored or if you have any other concerns about this.
Manage episode 152064813 series 1047810
The bulk of this episode is based on the UK NICE guideline: Feverish illness in children under 5, published in 2013. http://guidance.nice.org.uk/CG160
The guideline covers:
- Thermometers and the detection of fever
- Clinical assessment of the child with fever (using the traffic light system)
- Management by remote assessment
- Management by the non-paediatric practitioner
- Management by the paediatric specialist (investigations summarized below)
- Antipyretic interventions
The Traffic Light System in assessing risk for serious infection
This assessment tool takes into consideration color/appearance, activity, respiratory, circulation and hydration, and “other” parameters. For each parameter, their associated signs and symptoms are assigned a color code: “green” (low risk), “amber” (intermediate risk) and “red” (high risk). The table can be found here.
Age-appropriate investigations for pediatric fever
Once the risk for serious infection is determined, the following investigation should be performed:
Age | CBC diff | BC | CRP | UA/UC | LP | CXR | Stool culture |
<1mo | yes | yes | yes | yes | yes | if indicated | if indicated |
1-3mo | yes | yes | yes | yes | if unwell, or WBC >15 or <5M/mL | if indicated | if indicated |
>=3mo, RED | yes | yes | yes | yes | yes | yes | if indicated |
>=3mo, AMBER | yes | yes | yes | yes | if <1yr | if fever >39 and WBC >20 | if indicated |
>=3mo, GREEN | no | no | no | yes | no | no | if indicated |
And at the same time, empiric parenteral antibiotic coverage for meningitis (3rd generation cephalosporin plus ampicillin/amoxicillin) should be started if LP is indicated.
The post Pediatric Fever appeared first on Family Pharm Podcast.
28 episodes
Archived series ("Inactive feed" status)
When? This feed was archived on April 19, 2019 07:10 (). Last successful fetch was on February 08, 2018 18:20 ()
Why? Inactive feed status. Our servers were unable to retrieve a valid podcast feed for a sustained period.
What now? You might be able to find a more up-to-date version using the search function. This series will no longer be checked for updates. If you believe this to be in error, please check if the publisher's feed link below is valid and contact support to request the feed be restored or if you have any other concerns about this.
Manage episode 152064813 series 1047810
The bulk of this episode is based on the UK NICE guideline: Feverish illness in children under 5, published in 2013. http://guidance.nice.org.uk/CG160
The guideline covers:
- Thermometers and the detection of fever
- Clinical assessment of the child with fever (using the traffic light system)
- Management by remote assessment
- Management by the non-paediatric practitioner
- Management by the paediatric specialist (investigations summarized below)
- Antipyretic interventions
The Traffic Light System in assessing risk for serious infection
This assessment tool takes into consideration color/appearance, activity, respiratory, circulation and hydration, and “other” parameters. For each parameter, their associated signs and symptoms are assigned a color code: “green” (low risk), “amber” (intermediate risk) and “red” (high risk). The table can be found here.
Age-appropriate investigations for pediatric fever
Once the risk for serious infection is determined, the following investigation should be performed:
Age | CBC diff | BC | CRP | UA/UC | LP | CXR | Stool culture |
<1mo | yes | yes | yes | yes | yes | if indicated | if indicated |
1-3mo | yes | yes | yes | yes | if unwell, or WBC >15 or <5M/mL | if indicated | if indicated |
>=3mo, RED | yes | yes | yes | yes | yes | yes | if indicated |
>=3mo, AMBER | yes | yes | yes | yes | if <1yr | if fever >39 and WBC >20 | if indicated |
>=3mo, GREEN | no | no | no | yes | no | no | if indicated |
And at the same time, empiric parenteral antibiotic coverage for meningitis (3rd generation cephalosporin plus ampicillin/amoxicillin) should be started if LP is indicated.
The post Pediatric Fever appeared first on Family Pharm Podcast.
28 episodes
All episodes
×Welcome to Player FM!
Player FM is scanning the web for high-quality podcasts for you to enjoy right now. It's the best podcast app and works on Android, iPhone, and the web. Signup to sync subscriptions across devices.