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The management of fever and petechiae: making sense of rash decisions

Abstract

In a retrospective and prospective audit of 55 children presenting to the paediatric assessment unit of a district general hospital with fever and petechial rash, 9% had significant bacterial sepsis. The “ILL criteria” (irritability, lethargy, low capillary refill) for the management of children with fever and petechiae are proposed.

  • fever
  • petechial rash
  • bacterial sepsis
  • risk factor
  • meningococcaemia

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Linked Articles

  • Rapid responses
    BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
  • Rapid responses
    BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health