发热儿童的诊疗方法：弥合文献与临床实践差距的一项挑战。
Approach to the febrile child: A challenge bridging the gap between the literature and clinical practice.
作者信息
Girodias Jean-Bernard, Bailey Benoit
机构信息
Division of Emergency Medicine, Department of Pediatrics, Hôpital Sainte-Justine, Université de Montréal, Montreal, Quebec.
出版信息
Paediatr Child Health. 2003 Feb;8(2):76-82. doi: 10.1093/pch/8.2.76.
The approach to the febrile child is always concerning for any physician despite the fact that most fevers are viral in origin. However, in rare cases, a missed bacterial infection can have serious consequences. How can fevers of viral origin be differentiated from those of bacterial origin? Do all febrile children with no obvious infection site need a blood culture? Should antibiotics be administered before the results of the blood culture have been received? In the past 30 years, there has been an overabundance of recommendations, advice, opinions and suggested treatments on this subject. The purpose of this review is to present the evidence that is known at this time concerning the management of the febrile child and to present one approach used in a large urban paediatric emergency department.
对于任何医生来说，处理发热儿童的情况总是令人担忧的，尽管大多数发热是由病毒引起的。然而，在极少数情况下，漏诊细菌感染可能会产生严重后果。如何区分病毒源性发热和细菌源性发热？所有没有明显感染部位的发热儿童都需要进行血培养吗？在收到血培养结果之前就应该使用抗生素吗？在过去30年里，关于这个主题有过多的建议、意见和建议的治疗方法。这篇综述的目的是呈现目前已知的有关发热儿童管理的证据，并介绍在一个大型城市儿科急诊科所采用的一种方法。
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