Prolonged Fever in Children: An Inpatient Diagnostic Framework for Infections in Australia

IF 1.4 4区医学 Q2 PEDIATRICS Journal of paediatrics and child health Pub Date : 2025-03-13 DOI:10.1111/jpc.70027

Heshani Rupasinghe, Clare Nourse, Jennifer Robson, Angela Berkhout

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Abstract

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 ( $\geq$ 38.0°C) exceeding 7 days is provided.

Level of Evidence

National Health and Medical Research Council Level V.

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儿童长期发烧：澳大利亚住院患者感染诊断框架。

儿童发烧的原因有很多，从常见和自限性到严重和危及生命。对没有明显或已确定传染源的持续发热儿童进行仔细评估，需要详细的病史和检查，同时考虑到特定地理区域特有的感染和个人暴露风险。以前的诊断检查建议提供了有价值的见解，但没有一个是为澳大利亚住院患者量身定制的。认识到这一差距，提供了一种专门为长期发烧（≥$$ \ge $$ 38.0°C）超过7天住院的澳大利亚儿童设计的感染诊断方法。证据等级：国家卫生和医学研究委员会V级。

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来源期刊

Journal of paediatrics and child health 医学-小儿科

CiteScore

2.90

自引率

5.90%

发文量

487

审稿时长

3-6 weeks

期刊介绍： The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.