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The management of fever and petechiae: making sense of rash decisions
  1. P A Brogan,
  2. A Raffles
  1. Department of Paediatrics, QEII Hospital, Howlands, Welwyn Garden City, Herts, UK
  1. Dr P A Brogan, Department of Nephrourology, Institute of Child Health, Level 2, 30 Guilford St, London WC1N 1EH, UKPbrogan{at}ich.ucl.ac.uk

Abstract

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.

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

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  • ACKNOWLEDGEMENT
    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.

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