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40
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Text
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Pages
653–656
Issue
5
Volume
41
Dublin Core
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Title
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Unexplained fever in infants and young children: when is it serious?
Publisher
An entity responsible for making the resource available
Consultant (00107069)
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
2001-04-15
Subject
The topic of the resource
Infant; Body Temperature; Age Factors; Physical Examination; Clinical Assessment Tools; Diagnosis; Newborn; Laboratory; Patient History Taking; Bacterial Infections – Diagnosis – In Infancy and Childhood; Blood – Analysis – In Infancy and Childhood; Fever – Etiology – In Infancy and Childhood; Urinalysis – In Infancy and Childhood
Creator
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Bower J R; Powell K R
Description
An account of the resource
When an infant or child younger than 36 months presents with fever that has no obvious source, the major concern is overlooking a serious bacterial infection. Ask about underlying medical problems, previous hospitalizations, recent infectious contacts, current or recent antibiotic therapy, previous infectious illnesses, and immunization status. Determine whether an infant younger than 60 days was premature, received perinatal antibiotics, or had unexplained hyperbilirubinemia. The cutoff temperature varies by age for fever that signals the need for further evaluation: 38 degrees C (100.4 degrees F) or greater for infants younger than 60 days, and 39 degrees C (102.2 degrees F) or greater for children 60 days to 36 months of age. A white blood cell (WBC) count between 5000/microL and 15,000/microL in infants younger than 60 days indicates a very low risk of serious bacterial infection. In older infants and children who have high fever, a WBC count greater than 15,000/microL raises the relative risk of bacteremia 5-fold.
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2001
Age Factors
Bacterial Infections – Diagnosis – In Infancy and Childhood
Blood – Analysis – In Infancy and Childhood
Body Temperature
Bower J R
Clinical Assessment Tools
Consultant (00107069)
Diagnosis
Fever – Etiology – In Infancy and Childhood
Infant
Laboratory
Newborn
Patient History Taking
Physical Examination
Powell K R
Urinalysis – In Infancy and Childhood