Association of fever and severe clinical course in bronchiolitis
A Sahib El-Radhia, William Barrya, Swatee Patelb
a Queen Mary's
Hospital, Sidcup, Kent DA14 6LT, UK, b Department of Computing and Mathematical
Sciences, University of Greenwich, Woolwich, London, UK
Correspondence to: Dr El-Radhi.
Accepted 12 May 1999
Little attention has been given to the relation between
fever and the severity of bronchiolitis. Therefore, the relation
between fever and the clinical course of 90 infants (59 boys, 31 girls) hospitalised during one season with bronchiolitis was studied prospectively. Fever (defined as a single recording > 38.0°C or two
successive recording > 37.8°C) was present in 28 infants. These
infants were older (mean age, 5.3 v 4.0 months), had a longer mean hospital stay (4.2 v
2.7 days), and a more severe clinical course (71.0%
v 29.0%) than those infants without fever.
Radiological abnormalities (collapse/consolidation) were found in
60.7% of the febrile group compared with 14.8% of the afebrile
infants. These results suggest that monitoring of body temperature is
important in bronchiolitis and that fever is likely to be associated
with a more severe clinical course and radiological abnormalities.
Keywords: fever; bronchiolitis; disease severity
© 1999 by Archives of Disease in Childhood
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