The evolving approach to the young child who has fever and no obvious source.
Fever is a common complaint of young children who seek care in the emergency department. Recent advances, such as universal vaccination with the pneumococcal conjugate vaccine, require the review of traditional approaches to these patients. This article discusses newer strategies in the evaluation and management of the young child with fever, incorporating changes based on the shifting epidemiology of bacterial infection.
Ishimine
Paul
P
Departments of Medicine and Pediatrics, School of Medicine, University of California-San Diego, 200 West Arbor Drive, San Diego, CA 92103, USA. pishimin@ucsd.edu
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000150:complications* / Q000188:drug therapy; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005335:Fever of Unknown Origin / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010372:Pediatrics; D010808:Physical Examination / Q000379:methods*; D012307:Risk Factors
D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal