RT Book, Section
A1 Avner, Jeffrey R.
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
A2 Schafermeyer, Robert
SR Print(0)
ID 1155167330
T1 The Febrile- or Septic-Appearing Infant or Child
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259860751
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1155167330
RD 2024/04/23
AB Children  typically  have  four  to  six  febrile  illnesses  in  the  first  two  years  of  life  with  most  of  these  being  nonspecific  viral  illnesses.Widespread  vaccination  for  Haemophilus  influenzae  type  B  and  Streptococcuspneumoniae  has  had  a  profound  impact  on  the  incidence  of  occult  bacteremia  and  serious  bacterial  illness  (SBI).Meticulous  history  and  physical  examination,  most  notably  the  initial  visual  inspection  of  the  febrile  infant  or  child,  is  the  foundation  of  accurate  diagnosis.In  the  28-  to  56-day-old  febrile  infant,  risk  stratification  criteria  can  be  used  to  identify  those  at  risk  for  SBI.Focusing  parental  attention  on  “controlling  the  fever”  is  generally  impractical  and  misguided,  and  contributes  to  fever  phobia.