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发热儿童。

Febrile Child.

机构信息

Advanced Pediatric Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.

出版信息

Indian J Pediatr. 2017 Oct;84(10):782-786. doi: 10.1007/s12098-017-2425-y. Epub 2017 Aug 23.

DOI:10.1007/s12098-017-2425-y
PMID:28831693
Abstract

Fever without focus (FWF) is a common symptom in children for which parents seek health care consultation. It can be secondary to benign or serious causes. A pediatrician should be able to discriminate the benign from the serious causes by identifying the red flag signs. A systematic approach using detailed history, careful examination and laboratory tests is essential for early recognition, timely management and prompt referral to any emergency department. At the same time, benign cases require parental reassurance, symptomatic treatment and appropriate follow-up advice, taking care to avoid unnecessary investigations and antimicrobials.

摘要

发热原因待查(FWF)是儿童常见的就诊原因。它可能由良性或严重病因引起。儿科医生应该能够通过识别出危险信号来区分良性和严重病因。采用详细的病史、仔细的检查和实验室检查的系统方法对于早期识别、及时管理和及时转至任何急诊部门至关重要。同时,良性病例需要家长放心、对症治疗和适当的随访建议,注意避免不必要的检查和抗生素。

相似文献

1
Febrile Child.发热儿童。
Indian J Pediatr. 2017 Oct;84(10):782-786. doi: 10.1007/s12098-017-2425-y. Epub 2017 Aug 23.
2
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Fifteen-minute consultation: The approach to the febrile child.15分钟会诊:发热儿童的诊疗方法
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Translation of clinical prediction rules for febrile children to primary care practice: an observational cohort study.将发热儿童的临床预测规则应用于基层医疗实践的翻译:一项观察性队列研究。
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Approach to fever in children.儿童发热的处理方法。
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Effect of an evidence-based education programme on ED discharge advice for febrile children.一项循证教育计划对发热儿童急诊出院建议的影响。
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Self-referral and serious illness in children with fever.儿童发热中的自行转诊和严重疾病。
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Altered Mental Status Among Febrile Hospitalized HIV-Infected Children Aged 0-59 Months in Mozambique.莫桑比克发热住院的 HIV 感染 0-59 月龄儿童的精神状态改变。
J Trop Pediatr. 2021 Jul 2;67(3). doi: 10.1093/tropej/fmaa052.

本文引用的文献

1
Evaluation and Management of Febrile Children: A Review.发热儿童的评估与管理:综述
JAMA Pediatr. 2016 Aug 1;170(8):794-800. doi: 10.1001/jamapediatrics.2016.0596.
2
Evaluation of fever in infants and young children.婴儿和幼儿发热的评估。
Am Fam Physician. 2013 Feb 15;87(4):254-60.
3
Comparison of the test characteristics of procalcitonin to C-reactive protein and leukocytosis for the detection of serious bacterial infections in children presenting with fever without source: a systematic review and meta-analysis.
比较降钙素原、C 反应蛋白和白细胞计数检测特征在诊断发热无明确病因的儿童严重细菌感染中的应用:系统评价和荟萃分析。
Ann Emerg Med. 2012 Nov;60(5):591-600. doi: 10.1016/j.annemergmed.2012.05.027. Epub 2012 Aug 22.
4
Technical report—Diagnosis and management of an initial UTI in febrile infants and young children.技术报告——发热婴儿和幼儿初始尿路感染的诊断和治疗。
Pediatrics. 2011 Sep;128(3):e749-70. doi: 10.1542/peds.2011-1332. Epub 2011 Aug 28.
5
Diagnostic value of laboratory tests in identifying serious infections in febrile children: systematic review.实验室检查在识别发热儿童严重感染中的诊断价值:系统评价。
BMJ. 2011 Jun 8;342:d3082. doi: 10.1136/bmj.d3082.
6
Changing epidemiology of serious bacterial infections in febrile infants without localizing signs.发热而无局部体征的婴儿严重细菌感染的流行病学变化。
PLoS One. 2010 Aug 27;5(8):e12448. doi: 10.1371/journal.pone.0012448.
7
Diagnostic value of clinical features at presentation to identify serious infection in children in developed countries: a systematic review.发达国家儿童就诊时临床特征对严重感染的诊断价值:系统评价。
Lancet. 2010 Mar 6;375(9717):834-45. doi: 10.1016/S0140-6736(09)62000-6. Epub 2010 Feb 2.
8
Serious bacterial infection in recently immunized young febrile infants.近期接种疫苗的发热婴幼儿中严重细菌性感染。
Acad Emerg Med. 2009 Dec;16(12):1284-1289. doi: 10.1111/j.1553-2712.2009.00582.x.
9
Predictors of cerebrospinal fluid pleocytosis in febrile infants aged 0 to 90 days.0至90日龄发热婴儿脑脊液细胞增多症的预测因素。
Pediatr Emerg Care. 2008 May;24(5):287-93. doi: 10.1097/PEC.0b013e31816ecbb0.
10
Prevalence of urinary tract infection in childhood: a meta-analysis.儿童期尿路感染的患病率:一项荟萃分析。
Pediatr Infect Dis J. 2008 Apr;27(4):302-8. doi: 10.1097/INF.0b013e31815e4122.