Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
Chapter 113. Fever and Serious Bacterial Illness Sections:
Fever, Serious Bacterial Illness, General Treatment and
Disposition Principles Based Upon Age, Fever Evaluation in
Neonates and Infants 3 Months of Age, Infants 3 to 36 Months
Old, Fever in Children >36 Months of Age, Acknowledgment,
References. Topics Discussed: bacteremia; fever; fever of the
newborn. Excerpt:"Fever is the most common chief complaint of
children presenting to the ED, and accounts for approximately
30% of pediatric outpatient visits. Emergency providers
evaluating febrile children must differentiate mildly ill from
seriously ill children, a challenge that may be compounded when
nonspecific symptoms or no focus of infection are apparent,
especially in the neonate and infant. The extent of the
diagnostic workup and the initiation of appropriate management
must be determined. Many factors, such as clinical assessment,
physical examination findings, age of the patient, immu