Advanced Pediatric Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Indian J Pediatr. 2017 Oct;84(10):782-786. doi: 10.1007/s12098-017-2425-y. Epub 2017 Aug 23.
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.
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。