The management of fever and petechiae: making sense of rash decisions.
In a retrospective and prospective audit of 55 children presenting to the paediatric assessment unit of a district general hospital with fever and petechial rash, 9% had significant bacterial sepsis. The "ILL criteria" (irritability, lethargy, low capillary refill) for the management of children with fever and petechiae are proposed.
Brogan
P A
PA
Department of Paediatrics, QEII Hospital, Howlands, Welwyn Garden City, Herts, UK. Pbrogan@ich.ucl.ac.uk
Raffles
A
A
D000293:Adolescent; D016470:Bacteremia / Q000150:complications* / Q000175:diagnosis; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D005334:Fever / Q000382:microbiology*; D006801:Humans; D007223:Infant; D008297:Male; D008485:Medical Audit; D008589:Meningococcal Infections / Q000150:complications* / Q000175:diagnosis; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011693:Purpura / Q000382:microbiology*; D012189:Retrospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity