The effect of temperature reduction on respiratory rate in febrile illnesses.

O’Dempsey, Timothy; Laurence, B. E.; Mcardle, Theresa F.; Todd, Jim; Lamont, A. C.; Bm, Greenwood

doi:10.1136/adc.68.4.492

Cited by 43 publications

(23 citation statements)

References 2 publications

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“…In contrast to other studies,2 26 29 which reported that children with bronchiolitis younger than 3 months of age have a more severe clinical course, in our study, the mean age of children with greater disease severity was higher than those with milder disease. Fever was, however, not included in these studies.…”

Section: Discussioncontrasting

confidence: 99%

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Association of fever and severe clinical course in bronchiolitis

Barry

Patel

1999

Archives of Disease in Childhood

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Little attention has been given to the relation between fever and the severity of bronchiolitis. Therefore, the relation between fever and the clinical course of 90 infants (59 boys, 31 girls) hospitalised during one season with bronchiolitis was studied prospectively. Fever (defined as a single recording > 38.0°C or two successive recording > 37.8°C) was present in 28 infants. These infants were older (mean age, 5.3 v 4.0 months), had a longer mean hospital stay (4.2 v 2.7 days), and a more severe clinical course (71.0% v 29.0%) than those infants without fever. Radiological abnormalities (collapse/consolidation) were found in 60.7% of the febrile group compared with 14.8% of the afebrile infants. These results suggest that monitoring of body temperature is important in bronchiolitis and that fever is likely to be associated with a more severe clinical course and radiological abnormalities. (Arch Dis Child 1999;81:231-234)

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Section: Discussioncontrasting

confidence: 99%

“…Fever in respiratory diseases can increase the rate of pre-existing tachycardia and tachypnoea, which are caused by the disease itself 26. Therefore, tachycardia and tachypnoea may not be reliable signs of disease severity in febrile infants.…”

Section: Discussionmentioning

confidence: 99%

Association of fever and severe clinical course in bronchiolitis

Barry

Patel

1999

Archives of Disease in Childhood

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“…Much has been written about the value of respiratory rate in the diagnosis of respiratory illness in children,8-16 and its lack of predictive value for hypoxaemia in a malaria endemic area 17. There has also been considerable discussion about age specific normal values,18 the problems of accurate measurement,19-22 and its variability with fever 2324 However, in this study increased respiratory rate was used as an indicator of priority rather than specific pathology.…”

Section: Discussionmentioning

confidence: 95%

Triage in the developing world---can it be done?

Robertson

Molyneux

2001

Archives of Disease in Childhood

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Aim-To assess guidelines for the emergency triage, assessment, and treatment (ETAT) of sick children presenting to hospitals in the developing world. This study pretested the guidelines in Malawi, assessing their performance when used by nurses compared to doctors trained in advanced paediatric life support (APLS). Methods-Triage was performed simultaneously by a nurse and assessing doctor on 2281 children presenting to the under 5s clinic. Each patient was allocated one of three priorities, according to the ETAT guidelines. Any variation between nurse and assessor was recorded on the assessment forms. Results-Nurses identified 92 children requiring emergency treatment and 661 with signs indicating a need for urgent medical assessment. One hundred and forty two (6.2%) had diVerent priorities allocated by the APLS trained doctor, but these children did not tend to need subsequent admission. Eighty five per cent of admissions were prioritised to an emergency or urgent category. Conclusion-Although there are no gold standards for comparison the ETAT guidelines appear to reliably select out the majority of patients requiring admission.

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“…Fast breathing can be caused by malaria, hyper-reactive airway disorder, and bronchiolitis with wheeze and fast breathing. 9 – 11 Other factors, such as fever, can also influence the respiratory rate 12. WHO guidelines recommend that the respiratory rate is measured when the child is afebrile, calm, or feeding,2 but this may not always be possible, especially in a busy outpatient setting.…”

Section: Introductionmentioning

confidence: 99%

Chest radiography in children aged 2-59 months diagnosed with non-severe pneumonia as defined by World Health Organization: descriptive multicentre study in Pakistan

Hazir

Nisar

Qazi

et al. 2006

BMJ

113

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Objectives To evaluate the chest radiographs of children diagnosed with non-severe pneumonia on the basis of the current World Health Organization guidelines (fast breathing alone) for radiological evidence of pneumonia. Design Descriptive analysis. Setting Outpatient departments of six hospitals in four cities in Pakistan. Participants 2000 children with non-severe pneumonia were enrolled; 1932 children were selected for chest radiography. Interventions Two consultant radiologists used standardised WHO definitions to evaluate chest radiographs; no clinical information was made available to them. If they disagreed, the radiographs were read by a third radiologist; the final classification was based on agreement between two of the three radiologists. Main outcome measures Presence or absence of pneumonia on radiographs. Results Chest radiographs were reported normal in 1519 children (82%). Radiological evidence of pneumonia was reported in only 263 (14%) children, most of whom had interstitial pneumonitis. Lobar consolidation was present in only 26 children. The duration of illness did not correlate significantly with the presence of radiological changes (relative risk 1.17, 95% confidence interval 0.91 to 1.49). Conclusion Most children diagnosed with non-severe pneumonia on the basis of the current WHO definition had normal chest radiographs.

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The effect of temperature reduction on respiratory rate in febrile illnesses.

Cited by 43 publications

References 2 publications

Association of fever and severe clinical course in bronchiolitis

Association of fever and severe clinical course in bronchiolitis

Triage in the developing world---can it be done?

Chest radiography in children aged 2-59 months diagnosed with non-severe pneumonia as defined by World Health Organization: descriptive multicentre study in Pakistan

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