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.
- petechial rash
- bacterial sepsis
- risk factor
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The management of fever and petechiae: making sense of rash decisions
P A Brogan, A Raffles. Arch Dis Child 2000;83:506-7.
The authors acknowledge the Clinical Audit Department, QE2 Hospital, Welwyn Garden City for their help and support with this audit.