Frequency of Fever in Pediatric Patients Presenting to the Emergency Department With Non–Illness-Related Conditions

Muth, Mary K.; Statler, Jodie; Gentile, Deborah L.; Hagle, Mary

doi:10.1016/j.jen.2012.09.018

Cited by 2 publications

(2 citation statements)

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“…Childhood fever is a common reason for hospital visits in children, and are reported to be responsible for 15-25% visits in primary care, and also presentations to the emergency departments (ED). [1][2][3][4] Most children are evaluated for at least one febrile illness before they complete three years. 5 Children 3-24 months of age with fever, commonly have viral infections and may occasionally have an unidentified severe bacterial infection, without presenting with specific localizing signs.…”

Section: Introductionmentioning

confidence: 99%

“…5 Children 3-24 months of age with fever, commonly have viral infections and may occasionally have an unidentified severe bacterial infection, without presenting with specific localizing signs. 2 Their poor ability to convey their symptoms verbally, further hinders an accurate diagnosis and management in the ED. Otherwise also, chances of a febrile illness in the pre-school agegroup is higher than that in older children, although the evaluation required is less comprehensive than that in neonates and young infants (upto 90 days).…”

Section: Introductionmentioning

confidence: 99%

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Febrile infants in the emergency department of a public hospital in India: respiratory infections lead the pack

Pradhan

Mishra

Juneja

et al. 2021

Int J Contemp Pediatr

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Background: The objective of study was to find the etiology, signs and symptoms of fever of 4-7 days in the age group of 91 days 2 years and their outcome following treatment in a tertiary care hospital.Methods: This was a prospective study conducted at the Emergency Department (ED) of a public hospital in New Delhi between April, 2018 and January, 2019. 150 children aged 3 months to 2 years with 4-7 days of fever were included. Demographic, clinical and diagnostic data were collected, and children were managed using ACEE-INDIA guidelines, telephonic follow-up was done for those discharged from ED.Results: Out of 150 children, respiratory tract infections were most common etiological group (64%), followed by gastrointestinal infections (16.7%) and CNS infections (9.3%). Fever with cough (with respiratory distress-27.3%) was the most common symptom in these children. Overall, 61% were admitted; majority (58%) being with respiratory problems. Median (IQR) duration of stay in admitted children was 2 (0, 3) days. Mortality was observed in 12 (8%) children. Mortality was 4 times higher in children with CNS infections as compared to other conditions [RR=4.14 (1.4 to 12.4); P=0.01].Conclusions: Fever in the ED among Indian infants at a public hospital was mainly due to respiratory infection, which could be managed on outpatient-basis in the majority using the ACEE-INDIA (Academic College of Emergency Experts in India) guidelines. However, among those admitted, neurological conditions were the most common cause of death.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%