ArticleDeutsches Arzteblatt international2013
The febrile child: diagnosis and treatment.
Article in Deutsches Arzteblatt international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Analysis of Nurses' and Physicians' Attitudes, Knowledge, and Perceptions toward Fever in Children: A Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Symptomatic fever management in children: A systematic review of national and international guidelines.PloS one · 2021Pooled it
- The Role of Parental Concerns in the Recognition of Sepsis in Children: A Literature Review.Frontiers in pediatrics · 2019Pooled it
- Parental Perceptions of Pediatric Fever From Two Medical Centers in Lebanon.International journal of pediatrics · 2025Article
- Parental Confidence in Relation to Antipyretic Use, Warning Signs, Symptoms and Well-Being in Fever Management-Results from an App-Based Registry.International journal of environmental research and public health · 2022Article
- Fever of unknown origin (FUO) in children: a single-centre experience from Beijing, China.BMJ open · 2022Article
- [Case report: death of a 2-year-old girl with postmortem diagnosis of a rare coronary artery vasculitis typical for Kawasaki syndrome].Rechtsmedizin (Berlin, Germany) · 2022Article
- Prevalence and Course of SARS-CoV-2 Infection among Immunocompromised Children Hospitalised in the Tertiary Referral Hospital in Poland.Journal of clinical medicine · 2021Article
- Threshold for defining fever varies with age, especially in children: A multi-site diagnostic accuracy study.Nursing open · 2021Article
- Evaluating the impact of solar radiation on pediatric heat balance within enclosed, hot vehicles.Temperature (Austin, Tex.) · 2018Article
- Expectant parents' understanding of the implications and management of fever in the neonate.PloS one · 2015Article
- Additional comments regarding diagnosis and treatment.Deutsches Arzteblatt international · 2014Article
- Economicalness of outpatient laboratory diagnostics.Deutsches Arzteblatt international · 2014Article
- Do not administer free glucose solution.Deutsches Arzteblatt international · 2014Article
- Laboratory tests are important.Deutsches Arzteblatt international · 2014Article
- Pointers for the examination technique.Deutsches Arzteblatt international · 2014Article
- Consider further differential diagnoses.Deutsches Arzteblatt international · 2014Article
- In reply.Deutsches Arzteblatt international · 2014Article
Corrections and comments
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on byIn reply.2014
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFever accounts for 70% of all consultations with pediatricians and family physicians. Fever without an identifiable cause (<7 days' duration) and fever of unknown origin (FUO, ≥ 7 days' duration) are particularly challenging clinical situations.
methodThis article is based on a selective literature search for publications containing the term "pediatric fever management," with special attention to meta-analyses and systematic reviews.
resultsThe mainstay of diagnosis is physical examination by a physician who is experienced in the care of children and adolescents. The frequency of severe bacterial infection (SBI) is about 10% in neonates, 5% in babies aged up to 3 months, and 0.5% to 1% in older infants and toddlers. The mortality of SBI in neonates is about 10%. Both the degree of the parents' and the physician's concern are important warning signs for SBI. Clinical signs of SBI include cyanosis, tachypnea, poor peripheral perfusion, petechiae, and a rectal temperature above 40°C. Antipyretic drugs should only be used in special, selected situations. More than 40% of cases of FUO are due to infection; in more than 30% of cases, the cause is never determined.
conclusionAspects of central importance include the repeated physical examination of the patient, and parent counseling and education of medical and nursing staff pertaining to the warning signs for SBI. Research is needed in the areas of diagnostic testing and the development of new vaccines.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.