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Fever Guidelines Sheet1 .pdf


Original filename: Fever Guidelines Sheet1.pdf

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NWH GUIDELINE FOR THE MANAGEMENT OF THE WELL-APPEARING CHILD (<36 MOS) WITH FEVER & NO SOURCE
(Children who are ill appearing with or without a source should be
managed as per the appearance of the child and the source of the fever)

AGE

TEMP (oF)

VACCINE

CBC & BC

STATUS

U/A & Culture

LP

TREAT

(AVOID BAG URINE SPECIMENS)

8/18/05

ADMISSION
(CLOSE FOLLOW-UP WITH THE PCC
INDICATED FOR ALL DISCHARGED CHILDREN)

< 1 mo

> 100.4

N/A

X

X

X

1 mo to < 3 mos

> 100.4

N/A

X

X

C

3 - 36 mos

6 - 12 mos

> 102.2

> 102.2

I~NV

VC

X

X

X

X

<5000 WBC: C1

BC

Blood Culture

>15,000 WBC : X1

X

Perform

C

Consider

M <6 mos (6-12 uncircumcized): X

<5000 WBC: C1

I~NV

Incomplete or no vaccine

M (uncircumcized) 13-24 mos: C
F < 24 mos: X

>15,000 WBC : X1

VC

Vaccines complete

M

Males

F

Females

N/A

Not applicable

See above

<5000 WBC: C1
>15,000 WBC : X1

13 - 36 mos2

> 102.2
VC
See above
NOTES: For extremes of temp (<97oF or >105oF) consideration should be given to mangement as if unvaccinated.
Include chest X-ray for children with significant respiratory symptoms.

1

2

KEY:

If treated, arrangements will made with the child's physician for next day follow-up. If this cannot be arranged, next day follow-up will take place in the ED.
Excluding pts with known risk factors including chronic respiratory disease, cardiac disease, sickle cell anemia, nephrotic syndrome, immune compromise,
hi risk ethnicities (Native American, Hispanic, African American). These groups should all have a CBC & BC with treatment based on results with the
exception of immunocompromized patients who should all receive treatment.

or no vaccine


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