{"id":62,"date":"2009-02-26T23:53:43","date_gmt":"2009-02-26T23:53:43","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pedfever\/"},"modified":"2025-05-14T21:00:26","modified_gmt":"2025-05-14T21:00:26","slug":"pedfever","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/pedfever\/","title":{"rendered":"Unexplained Fever in Young Children"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">\n<p><strong>Clinical and laboratory \u201clow risk\u201d criteria for children younger than 3 months with fever and no focus of infection<\/strong><\/p>\n<p class=\"MsoNormal\"><strong>Clinical criteria<\/strong><\/p>\n<ul style=\"margin-top: 0cm;\">\n<li class=\"MsoNormal\">Born at term (gestational age &gt;\/= 37 weeks)with uncomplicated nursery stay<\/li>\n<li class=\"MsoNormal\">Previously healthy infants<\/li>\n<li class=\"MsoNormal\">Notoxic manifestations<\/li>\n<li class=\"MsoNormal\">No focal bacterial infection (except otitis media) <!--more--><\/li>\n<\/ul>\n<p class=\"MsoNormal\"><strong>Laboratory criteria<\/strong><\/p>\n<ul style=\"margin-top: 0cm;\">\n<li class=\"MsoNormal\">White blood cell count 5-15 x 10<sup>9<\/sup>\/l, &lt; 1.5 x 10<sup>9<\/sup> band cells\/l, or band\/neutrophil ratio&lt; 2<\/li>\n<li class=\"MsoNormal\">Normal urine analysis results (negative Gram stain of unspun urine, negative leucocyte esterase and nitrite, fewer than five white blood cells per high power field)<\/li>\n<li class=\"MsoNormal\">When diarrhoeais present, no haem and fewer than five white blood cells per high power field<\/li>\n<li class=\"MsoNormal\">Fewer than 8 x 10<sup>6<\/sup> white blood cells\/l in cerebrospinal fluid, if lumbar puncture is performed, and negative Gram stain findings in cerebrospinal fluid<\/li>\n<li class=\"MsoNormal\">No infiltrate on chest radiograph<\/li>\n<\/ul>\n<\/div>\n<div class=\"Section1\">\n<div class=\"Section1\">\n<div class=\"Section1\">\n<div class=\"Section1\">\n<div class=\"Section1\">\n<div class=\"Section1\">\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References:<\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 18pt; text-indent: -18pt;\">1. Brook I. Unexplained fever in young children: how to manage severe bacterial infection. BMJ. 2003 Nov 8;327(7423):1094-7. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14604934\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 18pt; text-indent: -18pt;\">Created: Jul 21, 2005<\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 18pt; text-indent: -18pt;\">\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[441],"tags":[1720,181,490,16,15,802,1810,266,267,1344,937,1575,1809,667,836,767,1811],"class_list":["post-62","post","type-post","status-publish","format-standard","hentry","category-pediatrics","tag-bajo","tag-children","tag-clinical","tag-criteria","tag-criterios","tag-fever","tag-focus","tag-infeccion","tag-infection","tag-infectious","tag-laboratory","tag-low","tag-months","tag-pediatrics","tag-riesgo","tag-risk","tag-younger"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/62","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=62"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/62\/revisions"}],"predecessor-version":[{"id":9057,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/62\/revisions\/9057"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=62"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=62"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=62"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}