دورية أكاديمية
أعرض في EDS

Approach to fever in children.

التفاصيل البيبلوغرافية
العنوان: Approach to fever in children.
المؤلفون: Jayashree M; Division of Pediatric Critical Care, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Electronic address: mjshree@hotmail.com., Parameswaran N; Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Puducherry, India. Electronic address: narayanan.p@jipmer.edu.in., Nallasamy K; Division of Pediatric Critical Care, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Electronic address: ny.karthi@gmail.com., Chidambaram AC; Division of Pediatric Critical Care, Advanced Pediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Electronic address: aakashchandran1@gmail.com., Rajasegar R; Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Puducherry, India. Electronic address: raajashri28@gmail.com., Dhodapkar R; Department of Microbiology, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Puducherry, India. Electronic address: rahuldhodapkar@gmail.com., Chhabra M; Department of Microbiology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital (RML), Delhi, India. Electronic address: malachhabra@yahoo.co.in., Gupta N; Division of Communicable Diseases, ICMR Headquarters, New Delhi, India. Electronic address: guptanivedita.hq@icmr.gov.in., Kaur H; Division of Communicable Diseases, ICMR Headquarters, New Delhi, India. Electronic address: harmanmeet.kaur@gmail.com., Velayudhan A; Division of Communicable Diseases, ICMR Headquarters, New Delhi, India. Electronic address: anoopvel@gmail.com., Deol S; Division of Communicable Diseases, ICMR Headquarters, New Delhi, India. Electronic address: saumyadeol.icmr@gmail.com., Lodha R; Division of Pediatric Pulmonology& Intensive Care, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India. Electronic address: rakesh_lodha@hotmail.com., Vasanthapuram R; Department of Neurovirology, Registrar & Dean (Basic Sciences), NIMHANS Bengaluru, India. Electronic address: virusravi@gmail.com., Verghese VP; Pediatric Infectious Diseases, Christian Medical College, Vellore, India. Electronic address: valsan@cmcvellore.ac.in., Rose W; Pediatric Infectious Diseases, Christian Medical College, Vellore, India. Electronic address: winsleyrose@cmcvellore.ac.in.
المصدر: Indian journal of medical microbiology [Indian J Med Microbiol] 2024 Jul-Aug; Vol. 50, pp. 100650. Date of Electronic Publication: 2024 Jun 24.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 8700903 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1998-3646 (Electronic) Linking ISSN: 02550857 NLM ISO Abbreviation: Indian J Med Microbiol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2021- : [New York] : Elsevier
Original Publication: New Delhi : Indian Association of Medical Microbiologists
مواضيع طبية MeSH: Fever*/diagnosis , Fever*/etiology, Humans ; Child ; India/epidemiology ; Child, Preschool ; Infant ; Fever of Unknown Origin/etiology ; Fever of Unknown Origin/diagnosis
مستخلص: Background: Fever in children is one of the most common reasons for outpatient visits as well as in-patient evaluation, often causing anxiety among parents and caregivers. Fever can be a standalone feature or be associated with other localising symptoms and signs like rash, lymphadenopathy, or any other organ system involvement with or without a focus of infection. The etiologies of fever vary depending on the clinical setting and epidemiology. India being a tropical country, sees a distinct spectrum of tropical infections. Physicians need to stay updated on the prevalent diseases in their region and the unique factors that may influence the clinical presentations and course of fever in the cohort of children they manage. The challenge lies in balancing the benefit of early treatment for severe diseases versus the harms of unnecessary investigations and treatment for self-resolving illnesses.
Objectives: This review aims to provide a comprehensive overview of fever in children, covering its etiology, clinical features, and management strategies. This review offers an algorithmic approach to fever tailored to the Indian setting to guide physicians in identifying the disease based on clinical symptoms and signs, ordering essential laboratory investigations, and initiating appropriate management promptly.
Content: The review categorises fever into various segments like fever with localising signs like rash, lymphadenopathy, fever due to infection localised to a particular organ system, and fever without a focus including fever of unknown origin. It delves into the diverse etiological factors contributing to fever in each of these categories, encompassing infectious and non-infectious origins. It gives pointers to identify the etiology from history, examination, and confirm them with judicious use of diagnostic investigations with emphasis on identifying the red flag signs that require immediate attention, especially in vulnerable groups like neonates and young infants.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Indian Association of Medical Microbiologists. Published by Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: Fever; Lymphadenopathy; Rash; Unknown origin; Without localising signs
تواريخ الأحداث: Date Created: 20240619 Date Completed: 20240808 Latest Revision: 20240808
رمز التحديث: 20240809
DOI: 10.1016/j.ijmmb.2024.100650
PMID: 38897571
قاعدة البيانات: MEDLINE
الوصف
تدمد:1998-3646
DOI:10.1016/j.ijmmb.2024.100650