The management of fever and petechiae: making sense of rash decisions

被引：40

作者：

Brogan, PA ^{[1
]}

Raffles, A ^{[1
]}

机构：

[1] Queen Elizabeth II Hosp, Dept Paediat, Welwyn Garden City, Herts, England

来源：

ARCHIVES OF DISEASE IN CHILDHOOD | 2000年 / 83卷 / 06期

关键词：

fever; petechial rash; bacterial sepsis; risk factor; meningococcaemia;

D O I：

10.1136/adc.83.6.506

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

In a retrospective and prospective audit of 55 children presenting to the paediatric assessment unit of a district general hospital with fever and petechial rash, 9% had significant bacterial sepsis. The "ILL criteria" (irritability, lethargy, low capillary refill) for the management of children with fever and petechiae are proposed.

引用

页码：506 / 507

页数：2

共 8 条

[1]

BAKER RC, 1989, PEDIATRICS, V84, P1051

[2] IDENTIFICATION OF INFANTS UNLIKELY TO HAVE SERIOUS BACTERIAL-INFECTION ALTHOUGH HOSPITALIZED FOR SUSPECTED SEPSIS [J].

DAGAN, R ;

POWELL, KR ;

HALL, CB ;

MENEGUS, MA .

JOURNAL OF PEDIATRICS, 1985, 107 (06) :855-860

[3] Clinical and hematologic features do not reliably identify children with unsuspected meningococcal disease [J].

Kuppermann, N ;

Malley, R ;

Inkelis, SH ;

Fleisher, GR .

PEDIATRICS, 1999, 103 (02) :E20

[4]

MANDL KD, 1997, J PEDIATR, V131, P389

[5] VARIATION IN SERUM C-REACTIVE PROTEIN ACROSS THE CLINICAL SPECTRUM OF MENINGOCOCCAL DISEASE [J].

MARZOUK, O ;

BESTWICK, K ;

THOMSON, APJ ;

SILLS, JA ;

HART, CA .

ACTA PAEDIATRICA, 1993, 82 (09) :729-733

[6] OUTPATIENT MANAGEMENT OF SELECTED INFANTS YOUNGER THAN 2 MONTHS OF AGE EVALUATED FOR POSSIBLE SEPSIS [J].

MCCARTHY, CA ;

POWELL, KR ;

JASKIEWICZ, JA ;

CARBREY, CL ;

HYLTON, JW ;

MONROE, DJ ;

MEYER, H .

PEDIATRIC INFECTIOUS DISEASE JOURNAL, 1990, 9 (06) :385-389

[7]

NGUYEN QV, 1984, PEDIATRICS, V74, P77

[8] Abandoning empirical antibiotics for febrile children [J].

Pollard, AJ ;

DeMunter, C ;

Nadel, S ;

Levin, M .

LANCET, 1997, 350 (9080) :811-812

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