Regular ArticleThe Causes of Fever in Children Attending Hospital in the North of England
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Cited by (28)
Utility of inflammatory markers in predicting the aetiology of pneumonia in children
2014, Diagnostic Microbiology and Infectious DiseaseCitation Excerpt :In a large prospective study, a computerised diagnostic model of clinical features improved accuracy in identifying potential serious bacterial infections (Craig et al., 2010). In a previous study in our setting (Nademi et al., 2001), bacterial infections were identified in 29% of children, and only history of poor feeding or restlessness was significant predictor. Therefore, combining a prediction model and defined cut-offs with clinical findings could enhance the diagnosis of likely causative pathogens of pneumonia in children (Nijman et al., 2013; Oostenbrink et al., 2013).
Comparison of the test characteristics of procalcitonin to C-reactive protein and leukocytosis for the detection of serious bacterial infections in children presenting with fever without source: A systematic review and meta-analysis
2012, Annals of Emergency MedicineCitation Excerpt :After history-taking and physical examination, it is estimated that 20% of febrile infants and young children receive a diagnosis of fever without an apparent source of infection.3 Of these, about 20% may have severe bacterial infection, such as lobar pneumonia, bacteremia, bacterial meningitis, pyelonephritis, or urinary tract infection.4-19 After the introduction of an effective Hib and PCV7 vaccine, the rate of severe bacterial infection decreased dramatically, with occult bacteremia rates now ranging from 0.02% to 0.7%.20
Clinical approach to acute fever
2010, Infectious Diseases: Third EditionFever in children returning from abroad
2002, Current PaediatricsDiagnostic value of clinical features at presentation to identify serious infection in children in developed countries: a systematic review
2010, The LancetCitation Excerpt :The highest rule-in value was obtained in the setting with the lowest prevalence, where a temperature of 40°C or more increased the likelihood of disease from 0·8% to 5·0%.5 By contrast, the absence of high temperature (<38·5°C to 38·9°C) had greatest rule-out value in a study with prevalence of serious infection of 29·1%.31 However, this rule-out potential was not seen in any of the other five studies with prevalence more than 20% and temperature had no rule-in value in these high prevalence studies.
Navigating the unknown: understanding and managing parental anxiety when a child is ill
2023, Archives of Disease in Childhood
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Please address all correspondence to: Dr A. J. Cant, Ward 23, Newcastle General Hospital, Westgate Road, Newcastle-Upon-Tyne, NE4 6BE, U.K. Fax: (0191)2730183; E-mail: [email protected]