EMERGENCY ACTIONS OF A PHYSICIAN WHEN VISITING A FEBRILE CHILD

Download full text PDF
Issue: 
11
Year: 
2016

Professor V. Delyagin, MD Dmitry Rogachev Federal Research-and-Clinical Center for Pediatric Hematology, Oncology, and Immunology, Moscow

The hyperthermia syndrome in a child is the most common reason for calling ambulance and emergency care in the hospital admission rooms. The paper discusses the causes of fever in children. It details a physician’s tactics in examining children of different age groups. Risk groups are presented. Recommendations for symptomatic therapy for hyperthermia are given.
Keywords: 
pediatrics
fever
children
prognostic criteria
management
ibuprofen

It appears your Web browser is not configured to display PDF files. Download adobe Acrobat или click here to download the PDF file.

References: 
  1. Rupe A., Ahlers-Schmidt C., Wittler R. A comparison of perceptions of fever and fever phobia by ethnicity // Clin. Pediatr. (Phila). – 2010; 49 (2): 172–6.
  2. Tessler H., Gorodischer R., Press J. et al. Unrealistic concerns about fever in children: the influence of cultural-ethnic and sociodemographic factors // Isr. Med. Assoc. J. – 2008; 10 (5): 346–9.
  3. Colletti J., Homme J., Woodridge D. Unsuspected neonatal killers in emergency medicine. Emerg Med Clin North Am. 2004; 22 (4): 929-960.
  4. Nijman R., Vergouwe Y., Thompson M. et al. Clinical prediction model to aid emergency doctors managing febrile children at risk of serious bacterial infections: diagnostic study // BMJ. – 2013; 346: 1706.
  5. Perry A., Caviness A., Allen J. Characteristics and diagnoses of neonates who revisit a pediatric emergency center // Pediatr. Emerg. Care. – 2013; 29 (1): 58–62.
  6. Graneto J. Emergent Management of Pediatric Patients with Fever. Updated: Apr 23, 2015. http://emedicine.medscape.com/article/801598-overview
  7. Hoberman A., Chao H., Keller D. et al. Prevalence of urinary tract infection in febrile infants // J. Pediatr. – 1993; 123 (1): 17–23.
  8. Schnadower D., Kuppermann N., Macias C. et al. Outpatient management of young febrile infants with urinary tract infections // Pediatr. Emerg. Care. – 2014; 30 (9): 591–7.
  9. Jaskiewicz J., McCarthy C., Richardson A. et al. Febrile infants at low risk for serious bacterial infection – an appraisal of the Rochester criteria and implications for management. Febrile Infant Collaborative Study Group // Pediatrics. – 1994; 94: 390–6.
  10. Feverish illnes in children. Assesment and initial management in children younger then 5 years. NICE clinical guideline 47 developed by the national collaborating centre for womens and children health, 2007; 38 p.
  11. Herz A., Greenhow T., Alcantara J. et al. Changing epidemiology of outpatient bacteremia in 3- to 36-month-old children after the introduction of the heptavalent-conjugated pneumococcal vaccine // Pediatr. Infect. Dis. J. – 2006; 25 (4): 293–300.
  12. Chuang Y., Huang Y., Lee C. et al. Methicillin-resistant Staphylococcus aureus bacteraemia in neonatal intensive care units: an analysis of 90 episodes // Acta Paediatr. – 2004; 93 (6): 786–90.
  13. Black S., France E., Isaacman D. et al. Surveillance for invasive pneumococcal disease during 2000-2005 in a population of children who received 7-valent pneumococcal conjugate vaccine // Pediatr. Infect. Dis. J. – 2007; 26 (9): 771–7.
  14. Brown J., Burns J., Cummings P. Ampicillin use in infant fever: a systematic review // Arch. Pediatr. Adolesc. Med. – 2002; 156 (1): 27–32.
  15. Vinh H., Parry C., Hangh V. et al. Double blend comparison of ibuprofen and paracetamol for adjunctive treatment of uncomplicated typhoid fever // Pediatr. Infect. Dis. J. – 2004; 23: 226–30.
  16. Manley J., Taddio A. Acetaminophen and ibuprofen for prevention of adverse reaction associated with childhood immunization // Ann. Pharmacother. – 2007; 41: 1227–32.
  17. Purssell E. Treating fever in children: paracetamol or ibuprofen? Br. J. Community Nurs. – 2002; 7 (6): 316–20.
  18. Sulvivan J., Farrar H. Clinical report – fever and antipyretic use in children // Pediatrics. – 2011; 127: 581–7.
  19. Kotlukov V.K. Anal'getiki-antipiretiki i allergicheskie zabolevanija u detej // Uchastkovyj pediatr. – 2014; 2: 5.
  20. Ploskareva A.A., Petuhova E.V. Lihoradka u detej: sovremennyj vzgljad na terapevticheskuju taktiku // Consilium Medicum. Pediatrija. – 2014; 4: 70–3.