551133
research-article2014
CPJXXX10.1177/0009922814551133Clinical PediatricsVanguru et al
Article
Comparison of Pediatric and General Emergency Medicine Practice Patterns in Infants With Fever
Clinical Pediatrics 2015, Vol. 54(3) 257–263 © The Author(s) 2014 Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/0009922814551133 cpj.sagepub.com
Leelasri Vanguru, MBBS1, Roberta E. Redfern, PhD1, Stephen Wanjiku, MS1, Rami Sunallah, MD2, Deepa Mukundan, MD, FAAP3, and Lakshmi Vemuru, MD, FAAP1
Abstract Objectives: To evaluate and compare the management approaches of pediatric and general emergency medicine physicians in infants presenting to the emergency department (ED) with complaint of fever. Methods: Infants 90 days of age or younger with a chief complaint of fever were included for review. Vital signs, laboratory workup, disposition, and final diagnosis were collected. Compliance with guidelines was assessed and compared between EDs. Results: Compliance with admission guidelines was not significantly different in any of the 3 age groups evaluated between the pediatric and general ED (PED and GED). Compliance with guideline recommendations for laboratory workup was not significantly different between the 2 EDs, nor was overall compliance with guideline recommendations. Conclusions: No significant variations in the management of febrile infants or compliance with published guidelines between PED and GED physicians were observed. Young infants can be safely treated for fever in the PED or GED. Keywords fever, infant, emergency department, guidelines compliance
Introduction Fever continues to be a frequent chief complaint in children presenting for emergency care.1 Children with fever account for up to one-third of Pediatric Emergency Department (PED) visits.2 Fever may signal the onset of a serious infection or a minor viral illness, especially in infants
research-article2014
CPJXXX10.1177/0009922814551133Clinical PediatricsVanguru et al
Article
Comparison of Pediatric and General Emergency Medicine Practice Patterns in Infants With Fever
Clinical Pediatrics 2015, Vol. 54(3) 257–263 © The Author(s) 2014 Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/0009922814551133 cpj.sagepub.com
Leelasri Vanguru, MBBS1, Roberta E. Redfern, PhD1, Stephen Wanjiku, MS1, Rami Sunallah, MD2, Deepa Mukundan, MD, FAAP3, and Lakshmi Vemuru, MD, FAAP1
Abstract Objectives: To evaluate and compare the management approaches of pediatric and general emergency medicine physicians in infants presenting to the emergency department (ED) with complaint of fever. Methods: Infants 90 days of age or younger with a chief complaint of fever were included for review. Vital signs, laboratory workup, disposition, and final diagnosis were collected. Compliance with guidelines was assessed and compared between EDs. Results: Compliance with admission guidelines was not significantly different in any of the 3 age groups evaluated between the pediatric and general ED (PED and GED). Compliance with guideline recommendations for laboratory workup was not significantly different between the 2 EDs, nor was overall compliance with guideline recommendations. Conclusions: No significant variations in the management of febrile infants or compliance with published guidelines between PED and GED physicians were observed. Young infants can be safely treated for fever in the PED or GED. Keywords fever, infant, emergency department, guidelines compliance
Introduction Fever continues to be a frequent chief complaint in children presenting for emergency care.1 Children with fever account for up to one-third of Pediatric Emergency Department (PED) visits.2 Fever may signal the onset of a serious infection or a minor viral illness, especially in infants
