[Management of febrile infants under 3 years old].
Fever is a common symptom in young infants. However, it is often difficult to differentiate young children with severe bacterial infections (SBI) from those with benign febrile illnesses. Clinical, biological and radiological criteria, alone or combined, do not allow to identify with precision young infants with SBI. Simple criteria--including medical history, clinical and hematological evaluation (the "Rochester criteria")--have been proposed by North American clinicians to identify young febrile children at low risk of SBI. These criteria have been validated on large numbers of children in various countries. Their application in different clinical situation is discussed in this article.
Lepage
P
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Service de Pédiatrie, Centre Inter Universitaire Ambroise Paré Mons.
D001424:Bacterial Infections / Q000150:complications / Q000175:diagnosis*; D001772:Blood Cell Count; D002985:Clinical Protocols; D005334:Fever / Q000209:etiology*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010808:Physical Examination; D013902:Radiography, Thoracic; D012307:Risk Factors