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Do recommend observing infants younger than 3 months with fever and having the following vital signs measured and recorded:
NICE
National Institute for Health and Clinical Excellence (NICE)
- temperature - heart rate - respiratory rate Perform the following investigations in infants younger than 3 months with fever: - full blood count - blood culture - C-reactive protein - urine testing for urinary tract infection (see NICE's guideline on urinary tract infection in under 16s) - chest X-ray only if respiratory signs are present - stool culture, if diarrhoea is present Perform lumbar puncture in the following children with fever (unless contraindicated): - infants younger than 1 ...
ver más ... 2019Do recommend starting management by the paediatric specialist with a clinical assessment. The healthcare professional should attempt to identify symptoms and signs of serious illness and specific ...
NICE
National Institute for Health and Clinical Excellence (NICE)
ver más ... 2019
Do not recommend prescribing oral antibiotics to children with fever without apparent source.
NICE
National Institute for Health and Clinical Excellence (NICE)
Give parenteral antibiotics to children with suspected meningococcal disease at the earliest opportunity (either benzylpenicillin or a third-generation cephalosporin). See NICE's guideline on meningitis (bacterial) and meningococcal septicaemia in under 16s.
ver más ... 2019Do not recommend routinely ordering a chest X-ray for children with symptoms and signs suggesting pneumonia who are not admitted to hospital.
NICE
National Institute for Health and Clinical Excellence (NICE)
Test urine in children with fever as recommended in NICE's guideline on urinary tract infection in under 16s. When a child has been given antipyretics, do not rely on a decrease or lack of decrease in temperature to differentiate between serious and non-serious illness.
ver más ... 2019Do recommend starting management by a non-paediatric practitioner with a clinical assessment. Healthcare practitioners should attempt to identify symptoms and signs of serious illness and specific ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Children whose symptoms or combination of symptoms and signs suggest an immediately life-threatening illness should be referred immediately for emergency medical care by the most appropriate means of transport (usually 999 ambulance). Children with any 'red' features but who are not considered to have an immediately life-threatening illness should be referred urgently to the care of a paediatric specialist. If any 'amber' features are present and no diagnosis has been reached, provide parents ...
ver más ... 2019