Arch Dis Child 2000;83:506-507 ( December )

Article

Short report

The management of fever and petechiae: making sense of rash decisions P A Brogan, A Raffles

Department of Paediatrics, QEII Hospital, Howlands, Welwyn Garden City, Herts, UK

Correspondence to: Dr P A Brogan, Department of Nephrourology, Institute of Child Health, Level 2, 30 Guilford St, London WC1N 1EH, UK Pbrogan{at}ich.ucl.ac.uk

Accepted 17 July 2000

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.


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

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© 2000 by Archives of Disease in Childhood
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eLetters:

Read all eLetters

The management of fever and petechiae: collaborative studies are needed.

F Andre I Riordan

ADC Online, 15 Dec 2000 [Full text]

Re: The management of fever and petechiae: collaborative studies are needed: Authors reply.

Paul A Brogan

ADC Online, 22 Dec 2000 [Full text]

Fever and petechiae: an ILLNESS

S Mukherjee

ADC Online, 23 Jan 2001 [Full text]

Fever and petechiae: Were cases of meningococcal disease missed?

Peter Davidson

ADC Online, 24 Mar 2001 [Full text]

Making even more sense of rash decisions

Malcom Jones

ADC Online, 12 Apr 2001 [Full text]