A5V4d

Clinical assessment of the child with fever
Figure 5.2 Admission temperature and pulse of children with meningococcal septicaemia, superimposed on
proposed age-specific temperature–pulse centile charts. GMSP, Glasgow Meningococcal Septicaemia
Prognostic score. (Brent et al., 2011) (Reproduced under open access publishing agreements)
(Brent et al., 2011) (Reproduced under open access publishing agreements)
(Brent et al., 2011, Evaluation of temperature–pulse centile charts in identifying serious bacterial illness: observational cohort
study Arch Dis Child 2011;96:368-373) (Reproduced under the open access publishing agreements)
Evidence profile
The GRADE profiles presented show results of included studies for the review question.
Table 5.59 − GRADE profile for the distribution of age-specific heart rate temperature
data by centile group for 1360 children presenting at a paediatric emergency department
with suspected serious bacterial infection for the detection of serious illness.
Table 5.60 − GRADE profile reporting the sensitivity, specificity, positive and negative
likelihood ratio for significant bacterial infection of cut-offs defined by heart rate and
body temperature for 1360 children presenting at a paediatric emergency department
with suspected serious bacterial infection.
Table 5.61 − GRADE profile for the sensitivity of cut-offs defined by heart rate and body
temperature centiles and tachycardia for detecting children with meningococcal
septicaemia of various degrees of severity in 325 children presenting to hospital with
meningitis.
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2013 Update