Linee guida
Il lattante febbrile: analisi delle linee guida
FEVER IN INFANTS: A REVIEW OF EXISTING GUIDELINES
MASSIMO FONTANA, MAURIZIO CAPIZZI, CARLO STRINGHI
UO di Pediatria, Ospedale dei Bambini “Vittore Buzzi”, Milano
Settembre 2002 - pagg. 449 -452
Abstract
Existing guidelines for the case-management of the infant with fever are reviewed. Distinct approaches
have been recommended for different age groups: 0-1 month, 1-3 months, 3-36
months, and for temperatures below 38 °C or above 39 °C. Although all the proposed guidelines
are characterised by comprehensive and sometimes invasive approach, immediate
identification of potentially serious disease cannot be ensured in all cases. Guidelines on febrile
infants are among the less satisfactory in paediatric practice, and for this reason their
actual implementation is rather poor.
Parole chiave
Classificazione MeSH
Bibliografia
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10. Browne GJ, Ryan JM, McIntyre P. Evaluation of a protocol for selective empiric treatment of fever without localising signs. Arch Dis Child 1997;76:129-33.
11. Lee GM, Harper MB. Risk of bacteremia for febrile young children in the post-Haemophilus influenzae type b era. Arch Pediatr Adolesc Med 1998;152:624-8.
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13. Children’s Hospital Medical Center, Cincinnati, Ohio. Evidence based clinical practice guideline of fever of uncertain source - National Guideline Clearinghouse; www.guideline. gov, 2000.
2. Kramer MS, Shapiro ED. Management of the young febbrile child: A commentary on recent practice guidelines. Pediatrics 1997; 100:128-34.
3. Isaacman DJ, Shults J, Gross TK, et al. Predictors of bacteremia in febbrile children 3 to 36 months of age. Pediatrics 2000;106:977-82.
4. Baraff LJ, Oslund SA, Shringer DL, et al. Probability of bacterial infections in febrile infants less than three months of age: a metaanalysis. Pediatr Infect Dis J 1992;11:146-51.
5. Bass JW, Steele RW, Wittler RR, et al. Antimicrobial treatment of occult bacteremia: a multicenter cooperative study. Pediatr Infect Dis J 1993;12:466-73.
6. Paxton RD, Byington CL. An evaluation of the unintended consequences of the rule-out sepsis evaluation. Clin Pediatr 2001;40:71-7.
7. McCarthy PL, Scarpe MR, Spiesel SZ, et al. Observation scale to identify serious illness in febrile children. Pediatrics 1982;70:802-9.
8. Baraff LJ, Lee SI. Fever without source: management of children 3 to 36 months of age. Pediatr Infect Dis J 1992;11:257-65.
9. Baraff LJ, Bass JW, Fleisher GR, et al. Practice guideline for the management of infants and children 0 to 36 months of age with fever without source. Pediatrics 1993;92:1-12.
10. Browne GJ, Ryan JM, McIntyre P. Evaluation of a protocol for selective empiric treatment of fever without localising signs. Arch Dis Child 1997;76:129-33.
11. Lee GM, Harper MB. Risk of bacteremia for febrile young children in the post-Haemophilus influenzae type b era. Arch Pediatr Adolesc Med 1998;152:624-8.
12. Stanos JK, Shulman ST. Abandoning empirical antibiotics for febrile children. Lancet 1997;350:84.
13. Children’s Hospital Medical Center, Cincinnati, Ohio. Evidence based clinical practice guideline of fever of uncertain source - National Guideline Clearinghouse; www.guideline. gov, 2000.