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Feverish illness in children: assessment and initial management in children younger than 5 years National Collaborating Centre for Women’s and Children’s Health Commissioned by the National Institute for Health and Care Excellence May 2013 i
Page 1: Feverish illness in children: asses
Page 5 and 6: Contents 1 Guideline summary 1 1.1
Page 7 and 8: 1 Guideline summary 1.1 Guideline d
Page 9 and 10: Guideline summary The GDG also cons
Page 11 and 12: Figure 1.1 Care pathway for feveris
Page 13 and 14: Guideline summary Number Recommenda
Page 29 and 30: Guideline summary Number Research r
Page 31 and 32: Guideline summary Number Research r
Page 33 and 34: Introduction service, 34% of calls
Page 35 and 36: Parental concern Introduction It is
Page 37 and 38: 3 Guideline development methodology
Page 39 and 40: Guideline development methodology (
Page 41 and 42: Guideline development methodology T
Page 43 and 44: Table 3.3 Levels of evidence for st
Page 45 and 46: External review Guideline developme
Page 47 and 48: Thermometers and the detection of f
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Thermometers and the detection of f
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5 Clinical assessment of children w
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Traffic light system Process used t
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Table 5.2 Traffic light system for
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Clinical assessment of the child wi
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Table 5.42 - evaluation of tenderne
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Number of studies 1 (Baker, 1989) N
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Table 5.9 GRADE profile for evaluat
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Number of studies Number of childre
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Table 5.20 GRADE profile for evalua
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Number of studies 1 (Stathakis, 200
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Number of studies 1 (Teach, 1995) 1
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Weak, high-pitched or continuous cr
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Conjunctivitis (identified in 2013
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Other Fever for 5 days or more (inc
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Rigor and/or chills (identified in
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Heart rate Introduction Clinical as
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Table 5.57 GRADE findings for evalu
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Meningococcal disease Narrative evi
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GDG translation Clinical assessment
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[2007] Clinical assessment of the c
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6 Management by remote assessment I
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Management by remote assessment Th
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7 Management by the non-paediatric
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Management by the non-paediatric pr
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GDG translation Management by the n
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Recommendations Number Recommendati
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8 Management by the paediatric spec
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chest X-ray only if respiratory sig
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Management by the paediatric specia
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Table 8.2 GRADE findings for compar
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Evidence statements Management by t
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Viral co-infection Management by th
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Recommendations Number Recommendati
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Number of studies Torrey et al, 198
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hours. [new 2013] Number Research r
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Suspected meningococcal disease Man
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activity eating and drinking prev
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Number of studies 1 (Lesko et al.,
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Antipyretic interventions 9.2 Physi
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ibuprofen compared with paracetamol
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Antipyretic interventions Number of
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Table 9.6 GRADE findings for parace
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Antipyretic interventions AUC area
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Table 9.8 GRADE findings for ibupro
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Antipyretic interventions Two RCTs
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Antipyretic interventions There was
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10 Advice for home care Introductio
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Advice for home care As sufficient
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10.2 When to seek further help Advi
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Advice for home care been put to th
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Health economics at 3.5%. The analy
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Health economics Table 11.2 Compara
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Type of thermometer Singlemeasureme
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Total undiscounted 10-year cost (wi
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Health economics Figure 11.1 Decisi
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Health economics 11.4 Economic eval
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Table 11.10 Additional cost per add
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Health economics pathways for child
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Health economics symptom was noted.
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12 References References [2013] Akp
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Brewer et al.1968 References Brewer
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Hewson et al., 2000 References Hews
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Nahata et al., 1992 References Naha
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Stathakis et al., 2007 References S
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Weisse et al., 1987 References Weis
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References patients? The Evidence-B
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References 64. Dart RC, Lee SC, Joy
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References 106. Bonadio WA, Hennes
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References 148. Akinyoola AL, Obiaj
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188. Richardson AC, Roghmann KJ, Wh
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231. Andre P, Thebaud B, Guibert M,
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References 274. Wafula E, Tindybwa
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LRTI lower respiratory tract infect
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also double-blind study, single-bli
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Abbreviations and glossary may be q
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Abbreviations and glossary Dominanc
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Abbreviations and glossary Gold sta
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Abbreviations and glossary with bac
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Abbreviations and glossary Peer rev
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Randomised controlled trial (RCT) A
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Abbreviations and glossary Standard
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