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August 14 2017 A number of changes have been made to the NICE guidelines and assessing and...

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    Wednesday, 06 September 2017 16:53
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  • NICE updates guidance on fever in young children

    NICE updates guidance on fever in young children

    Monday, 14 August 2017 09:59

a boy with fever image cbAugust 14 2017

A number of changes have been made to the NICE guidelines and assessing and managing fever in children under 5. 

 The amendments include the addition of a recommendation cross-referencing to the NICE guideline on ‘sepsis: recognition, diagnosis and early management’. It reads:

“1.2.1.2 – Think ‘Could this be sepsis?’ and refer to the NICE guideline on sepsis: recognition, diagnosis and early management if a child presents with fever and symptoms or signs that indicate possible sepsis.”

Another addition is added under the recommendations for tests by non-paediatric practitioners (section 1.4.3). This reads:

“1.4.3.3 – When a child has been given antipyretics, do not rely on a decrease or lack of decrease in temperature to differentiate between serious and non-serious illness.”

A footnote has also been added to recommendation 1.2.2.10 and Table 1 “to highlight that some vaccinations have been found to induce fever in children younger than 3 months.”

The updated guideline CG160 replaces the May 2007 guideline, CG47.

Link:

NICE CG160 update information                  https://www.nice.org.uk/guidance/cg160/chapter/Update-information

NICE CG160 ‘Fever in under 5s: assessment and initial management’           https://www.nice.org.uk/guidance/cg160

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