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REVIEW ARTICLE
Year : 2018  |  Volume : 8  |  Issue : 2  |  Page : 63-72

An evidence-based approach to evaluation and management of the febrile child in Indian emergency department


1 Department of Pediatrics, University College of Medical Sciences and Guru Tegh Bahadur Hospital, New Delhi, India
2 Department of Pediatrics, Hind Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
3 Department of Emergency Medicine, Chief Section of Pediatric Emergency Medicine, CS Motts Children's Hospital, University of Michigan, Salt Lake City, UT, USA
4 Department of Pediatrics, Division of Inpatient Medicine, University of Utah, Salt Lake City, UT, USA
5 Department of Pediatrics, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
6 Department of Epidemiology and Biostatistics, Division of Inpatient Medicine, University of Utah, Salt Lake City, UT, US, USA
7 Department of Emergency Medicine and Pediatrics, SUNY Downstate Medical Center, Director Emeritus, Pediatric Emergency Medicine, Kings County Hospital Center, Brooklyn, NY, USA
8 Department of Pediatrics, Lady Hardinge Medical College, New Delhi, India
9 Department of Emergency Medicine, University of Michigan, Salt Lake City, UT, USA
10 Department of Emergency Medicine, University of Michigan, Salt Lake City, UT, USA; Department of Emergency Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana
11 Department of Pediatrics, University College of Medical Sciences, New Delhi, India
12 Department of Emergency Medicine, University of Florida, Jacksonville, FL, USA

Correspondence Address:
Prof. Prerna Batra
Department of Pediatrics, University College of Medical Sciences and Guru Tegh Bahadur Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJCIIS.IJCIIS_3_18

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Fever is the most common complaint for a child to visit hospital. Under the aegis of INDO-US Emergency and Trauma Collaborative, Pediatric Emergency Medicine chapter of Academic College of Emergency Experts in India developed evidence-based consensus for evaluation and management of febrile child in emergency department. An extensive literature search and further online communication of the group led to the development of a detailed approach for the evaluation and management of individual conditions associated with fever. To develop an approach to individual conditions presenting with fever, that is, best suited to the epidemiology prevalent in India. The algorithmic approach given by the group describes in details the evaluation and management of specialized and individual conditions like fever and immunocompromised state, fever with localizing signs that include fever with seizures, cough, ear discharge, loose stools, rash and dysuria; fever without localization with epidemiological evidence supporting diagnosis such as malaria, enteric fever and dengue; and fever without any localization and no epidemiological evidence supporting the diagnosis.


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