Infections
in children- Chickenpox
- Fever
- Herpetic infections
- Measles
- Mumps
- Roseola infantum
- Rubella
- Scarlet fever
- Urinary tract infection
Fever
Source: BMJ
Urinary tract infection
Suspicion should always result in urine culture and microscopy (this is more important than treatment!). If significant bacteriuria and age under 5:- Rx cefalexin.
- Arrange for monthly urine samples for MC&S meantime.
- Give information including parent advice leaflet .
- Refer for DMSA scan and renal ultrasound.
Urinary tract infection (UTI) in children
Note: NICE guidelines have been published in late 2007 which potentially simplify UTI management in children. There is still much professional debate about these guidelines, however.
Measles
- Should be non-existent. Notifiable.
- Incubation 10-14 days.
- Prodromal period. Characteristic rash 3-4 days.
- Exclusion period 5 days from onset of rash.
Rubella
- Should be non-existent. Notifiable. Vaccination very effective.
- Incubation 14-21 days.
- Rash can be transient and difficult to diagnose.
- Exclusion ?
Roseola infantum
- Pronounced fever for 3 days, followed by resolution and the onset of a pinkish macular rash.
Chickenpox
- Incubation 14-17 days.
- Characteristic rash in crops over 5 days.
- Exclusion period 5 days from onset of rash.
Scarlet fever
- Notifiable. Very rare.
- Incubation 2-4 days.
- Characteristic rash of pinpoint macules + strawberry tongue.
- Check urine for protein. Throat swab/ASO titre.
- Rx Penicillin x 10 days.
- Exclusion period 10 days from onset of rash.
Herpetic infections
- Typically oral lesions, stomatitis and persistent pyrexia.
- Resolution in 7-14 days.
Mumps
- Should be non-existent. Notifiable.
- Incubation 16-21 days.
- Characteristic parotid swelling for 7-10 days.
- Exclusion period until parotid swelling resolved.