Rupasinghe Heshani, Nourse Clare, Robson Jennifer, Berkhout Angela
Paediatric Department, Gold Coast University Hospital, Southport, Australia.
Communicable Disease Control, Public Health Unit, Gold Coast Hospital and Health Service, Southport, Australia.
J Paediatr Child Health. 2025 Apr;61(4):532-539. doi: 10.1111/jpc.70027. Epub 2025 Mar 13.
There are many causes of fever in children, ranging from common and self-limiting to serious and life threatening. Careful assessment of children with prolonged fever without an obvious or identified source requires detailed history and examination with consideration of infections unique to the specific geographical region and individual exposure risks. Previous recommendations for diagnostic work-up have provided valuable insights, but none have been tailored to the Australian inpatient setting. Recognising this gap, a diagnostic approach for infections specifically designed for the Australian child admitted to hospital with prolonged fever ( 38.0°C) exceeding 7 days is provided. LEVEL OF EVIDENCE: National Health and Medical Research Council Level V.
儿童发热的原因众多,从常见的自限性疾病到严重的危及生命的疾病都有。对于持续发热且无明显或已确定病因的儿童进行仔细评估,需要详细的病史和检查,并考虑特定地理区域特有的感染以及个体暴露风险。以往关于诊断检查的建议提供了宝贵的见解,但没有一个是针对澳大利亚住院患者情况量身定制的。认识到这一差距,本文提供了一种专门针对因持续发热(体温≥38.0°C)超过7天而入院的澳大利亚儿童感染的诊断方法。证据级别:澳大利亚国家卫生与医学研究委员会V级。