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NICE

National Institute for Health and Clinical Excellence (NICE)

- focal neurological signs - focal seizures - decreased level of consciousness

NICE

National Institute for Health and Clinical Excellence (NICE)

- an ill-looking child - lesions larger than 2 mm in diameter (purpura) - a capillary refill time of 3 seconds or longer - neck stiffness Consider bacterial meningitis in a child with fever and any of the following features: - neck stiffness - bulging fontanelle - decreased level of consciousness - convulsive status epilepticus Be aware that classic signs of meningitis (neck stiffness, bulging fontanelle, high-pitched cry) are often absent in infants with bacterial meningitis.

NICE

National Institute for Health and Clinical Excellence (NICE)

NICE

National Institute for Health and Clinical Excellence (NICE)

When assessing children with learning disabilities, take the individual child's learning disability into account when interpreting the traffic light table. Recognise that children with any of the following symptoms or signs are in a high-risk group for serious illness: - pale/mottled/ashen/blue skin, lips or tongue - no response to social cues - appearing ill to a healthcare professional - does not wake or if roused does not stay awake - weak, high-pitched or continuous cry - grunting - ...

NICE

National Institute for Health and Clinical Excellence (NICE)

Think "Could this be sepsis?" and refer to the NICE guideline on sepsis: recognition, diagnosis and early management if a child presents with fever and symptoms or signs that indicate possible sepsis.