Clinical and epidemiological characteristics of children admitted with fever in emergency department with or without sepsis

Sant'ana, Mariana; Amoedo, Caroline Duarte Mello; Nascimento‐Carvalho, Cristiana M.

doi:10.3855/jidc.9257

Cited by 5 publications

(3 citation statements)

References 26 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Present findings are similar to the study of de Santana et al In his study, out of 254 patients UTIs was seen in 18 (7.1%) cases. 9 In present series, leptospirosis was diagnosed in 78 children (12.6%) with fever. Cruz et al in 1994 studied 188 children with prolonged fever, 23 children (12.2%) had serological evidence of leptospirosis.…”

Section: Discussionmentioning

confidence: 56%

A study of etiology, clinical profile and outcome in children aged 1-12 years presenting with fever of 1-3 weeks duration in a tertiary hospital

Devarajulu

Velusamy

2019

Int J Contemp Pediatr

View full text Add to dashboard Cite

Background: The objective of the study was to find out the etiology, associated signs and symptoms of fever of 1-3 weeks in the age group of 1-12 years and their outcome following treatment in a tertiary care hospital.Methods: This was an observational prospective study conducted at Institute of child health and hospital for children, Egmore, Chennai during the period from January 2011 to October 2012. A total of 621 children aged 1-12 years with 1-3 weeks of fever were included in the study. Demographic, clinical and diagnostic data were collected and analyzed for each patient and outcome was assessed for different types of febrile illness.Results: Out of 621 patients enrolled in the study, enteric fever was diagnosed in majority cases followed by respiratory tract infection, urinary tract infection in 102 (16.4%), leptospirosis in 78 (12.6%), malaria in 60(9.7%), dengue fever in 8 (7.7%) rickettsia infection in 36 (5.8%), tuberculosis in 24 (3.9%), CNS infection in 18 (2.9%), viral hepatitis in12 (1.9%), malignancy in 5(0.8%), connective tissue disorder in 4 (0.6%), localized infection in 2 (0.3%) cases. The incidence was unknown in 10 patients (1.6%). Fever and vomiting were the common symptom seen in all the patients. Mortality was observed 18 (2.94%) cases.Conclusions: The similarity of illness and complexity in etiological conditions demonstrates the complications of diagnosis and treatment of fevers. The present study findings provided rationale information for development of guidelines necessary for treatment and thereby reducing the mortality rate in children of age 1-12 years with incidence of febrile illness.

show abstract

Section: Discussionmentioning

confidence: 56%

A study of etiology, clinical profile and outcome in children aged 1-12 years presenting with fever of 1-3 weeks duration in a tertiary hospital

Devarajulu

Velusamy

2019

Int J Contemp Pediatr

View full text Add to dashboard Cite

show abstract

“…Similar results were seen in various studies done in the Western world on febrile children presenting to the ED which showed pneumonia (43.7%) as most common cause of fever in <13 years old febrile children, and others being diarrhoea (17.3%) and cellulitis/adenitis (13%). [30][31][32] Finkelstein, et al reported similar findings in 3-36 months old infants in the US. 5 Studies done in Indian children also showed respiratory and the gastrointestinal illnesses as the most common diagnosis in febrile children.…”

Section: Discussionmentioning

confidence: 62%

Febrile infants in the emergency department of a public hospital in India: respiratory infections lead the pack

Pradhan

Mishra

Juneja

et al. 2021

Int J Contemp Pediatr

View full text Add to dashboard Cite

Background: The objective of study was to find the etiology, signs and symptoms of fever of 4-7 days in the age group of 91 days 2 years and their outcome following treatment in a tertiary care hospital.Methods: This was a prospective study conducted at the Emergency Department (ED) of a public hospital in New Delhi between April, 2018 and January, 2019. 150 children aged 3 months to 2 years with 4-7 days of fever were included. Demographic, clinical and diagnostic data were collected, and children were managed using ACEE-INDIA guidelines, telephonic follow-up was done for those discharged from ED.Results: Out of 150 children, respiratory tract infections were most common etiological group (64%), followed by gastrointestinal infections (16.7%) and CNS infections (9.3%). Fever with cough (with respiratory distress-27.3%) was the most common symptom in these children. Overall, 61% were admitted; majority (58%) being with respiratory problems. Median (IQR) duration of stay in admitted children was 2 (0, 3) days. Mortality was observed in 12 (8%) children. Mortality was 4 times higher in children with CNS infections as compared to other conditions [RR=4.14 (1.4 to 12.4); P=0.01].Conclusions: Fever in the ED among Indian infants at a public hospital was mainly due to respiratory infection, which could be managed on outpatient-basis in the majority using the ACEE-INDIA (Academic College of Emergency Experts in India) guidelines. However, among those admitted, neurological conditions were the most common cause of death.

show abstract

“…The most reported SDOH categories were preadmission nutritional status (35.8%, 38/106) (17–52) and race/ethnicity (18.9%, 20/106) (21, 22, 25, 29, 33, 42, 45, 51, 53–64) (Table 1). For nutrition, 38 articles reported 24 different measures reflecting nutrition, weight, height, or body mass index.…”

Section: Resultsmentioning

confidence: 99%

Reporting of Social Determinants of Health in Pediatric Sepsis Studies*

Menon

Sorce²,

Argent

et al. 2023

Pediatric Critical Care Medicine

View full text Add to dashboard Cite

OBJECTIVE:Standardized, consistent reporting of social determinants of health (SDOH) in studies on children with sepsis would allow for: 1) understanding the association of SDOH with illness severity and outcomes, 2) comparing populations and extrapolating study results, and 3) identification of potentially modifiable socioeconomic factors for policy makers. We, therefore, sought to determine how frequently data on SDOH were reported, which factors were collected and how these factors were defined in studies of sepsis in children. DATA SOURCES AND SELECTION:We reviewed 106 articles (published between 2005 and 2020) utilized in a recent systematic review on physiologic criteria for pediatric sepsis.DATA EXTRACTION: Data were extracted by two reviewers on variables that fell within the World Health Organization's SDOH categories.DATA SYNTHESIS: SDOH were not the primary outcome in any of the included studies. Seventeen percent of articles (18/106) did not report on any SDOH, and a further 36.8% (39/106) only reported on gender/sex. Of the remaining 46.2% of articles, the most reported SDOH categories were preadmission nutritional status (35.8%, 38/106) and race/ethnicity (18.9%, 20/106). However, no two studies used the same definition of the variables reported within each of these categories. Six studies reported on socioeconomic status (3.8%, 6/106), including two from upper-middle-income and four from lower middle-income countries. Only three studies reported on parental education levels (2.8%, 3/106). No study reported on parental job security or structural conflict. CONCLUSIONS:We found overall low reporting of SDOH and marked variability in categorizations and definitions of SDOH variables. Consistent and standardized reporting of SDOH in pediatric sepsis studies is needed to understand the role these factors play in the development and severity of sepsis, to compare and extrapolate study results between settings and to implement policies aimed at improving socioeconomic conditions related to sepsis.

show abstract

Clinical and epidemiological characteristics of children admitted with fever in emergency department with or without sepsis

Cited by 5 publications

References 26 publications

A study of etiology, clinical profile and outcome in children aged 1-12 years presenting with fever of 1-3 weeks duration in a tertiary hospital

A study of etiology, clinical profile and outcome in children aged 1-12 years presenting with fever of 1-3 weeks duration in a tertiary hospital

Febrile infants in the emergency department of a public hospital in India: respiratory infections lead the pack

Reporting of Social Determinants of Health in Pediatric Sepsis Studies*

Contact Info

Product

Resources

About