Pediatric emergencies associated with fever.
Fever is defined as a rectal temperature greater than 38.0 degrees C (>100.4 degrees F). A recently documented fever at home should be considered the same as a fever in the ED and should be managed similarly. All febrile infants younger than 28 days should receive a 'full sepsis workup' and be admit...
| Publicado en: | Emergency Medicine Clinics of North America Vol. 28; no. 1; pp. 67 - 87 |
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| Autores principales: | , |
| Formato: | Journal Article |
| Publicado: |
W B Saunders
2010 Feb
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105277053&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105277053 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07338627 1VU jtl: Emergency Medicine Clinics of North America issn: 07338627 maglogo: N pubinfo: dt: 2010 Feb vid: 28 iid: 1 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 105277053 2010518826 10.1016/j.emc.2009.09.002 NLM19945599 105277053 ppf: 67 ppct: 20 formats: tig: atl: Pediatric emergencies associated with fever. aug: au: Claudius I Baraff LJ affil: Department of Emergency Medicine, University of Southern California and Children's Hospital, 1200 State Street 1011, Los Angeles, CA 90033, USA. sug: subj: Emergency Service Fever Etiology Sepsis Diagnosis Antibiotics Therapeutic Use Child Child, Preschool Dehydration Diagnosis Dehydration Therapy Fever Drug Therapy Fever Microbiology Infant Infant, Newborn Meningitis, Bacterial Diagnosis Meningitis, Bacterial Drug Therapy Meningococcal Infections Diagnosis Meningococcal Infections Drug Therapy Sepsis Drug Therapy Child: 6-12 years Child, Preschool: 2-5 years Infant: 1-23 months Infant, Newborn: birth-1 month ab: Fever is defined as a rectal temperature greater than 38.0 degrees C (>100.4 degrees F). A recently documented fever at home should be considered the same as a fever in the ED and should be managed similarly. All febrile infants younger than 28 days should receive a 'full sepsis workup' and be admitted for parenteral antibiotic therapy. Clinical and laboratory criteria can be used to identify a low-risk population of febrile infants aged 1 to 4 months who have not received 2 doses of conjugate vaccines for bacterial meningitis. Children with sickle cell disease are at high risk and require special evaluation. MRSA infections are now common and should be considered in all patients with pyoderma, severe pneumonia, and catheter-related sepsis. HSV infection of the CNS should be considered whenever a patient has altered mental status and CSF findings are not diagnostic of bacterial meningitis. Fever rarely represents life-threatening pathology; however, a handful of less common serious causes of pediatric fever exist with the potential for morbidity and mortality.Copyright © 2010 by Elsevier Inc. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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