Fever
Kawasaki disease
Meningitis
Occult bacteremia /sepsis
Urinary tract infection
Viral
- Describe the pathophysiology of thermoregulation and define fever
- List and classify common pathogens that cause fever
- List non-infectious causes of fever
- Describe the modes of transmission of infectious agents and means of prevention
- Demonstrate competence in the application of universal precautions
- List and classify the common pathogens causing urinary tract infections in children
- Describe the basic principles of pharmacology used in the management of fever and infectious and non-infectious febrile conditions
Overview & Foundational Knowledge
| Avner, JR. Acute fever. Pediatrics in Review 2009; 30(1): 5-13.
https://doi.org/10.1542/pir.30-1-5 Overview on pathophysiology and management of acute fever. |
| Mann, K & Jackson, MA. Meningitis. Pediatrics in Review 2008; 29(12): 417-430.
https://doi.org/10.1542/pir.29-12-417 Overview on bacterial, viral, TB and fungal meningitis, management, complications and long term sequelae. |
| Ishimine, P. Fever without source in children 1 to 36 months of age. Pediatric Clinics of North America 2006; 53: 167-194.
https://doi.org/10.1016/j.pcl.2005.09.012 A lengthy but quite complete overview. Includes foundational knowledge. |
| Fever without a focus in less than 3 months. Pedscases podcast.
https://www.pedscases.com/fever-without-focus Interview with a Pediatric ID specialist from University of Alberta. Good summary. Free download on iTunes. |
| Son MB & Newberger J. Kawasaki Disease. Pediatrics in Review 2013; 34(4): 151-162.
https://doi.org/10.1542/pir.34-4-151 Overview article on Kawasaki disease, manifestations, differential diagnosis, treatment, cardiac complications- good pictures and tables. |
| Williams GJ, Hodson EH, Isaacs D & Craig JC. Diagnosis and management of urinary tract infection in children. Journal of Paediatrics and Child Health 2012; 48: 296-301.
https://doi.org/10.1111/j.1440-1754.2010.01925.x This review summarizes the most relevant recent primary studies, systematic reviews and guidelines; common sense approach to UTIs. |
|
Urinary tract infection: Clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months. Pediatrics, 2011; 128(3): 595-610.
https://pubmed.ncbi.nlm.nih.gov/21873693/ Clinical practice guideline from the Subcommittee on UTI, steering committee on quality improvement and management. |
Clinical Resources
| Evaluation of Fever in Infants and Young Children. Hamilton JL, John SP. American Family Physician. 2013; 87(4): 254-260.
http://www.aafp.org/afp/2013/0215/p254.html Good article with flow diagrams to demonstrate evaluation of febrile infants. American context, but very similar to Canadian approach. |
Virtual Patients or Cases
| Prolonged fever.
Access through https://www.pedscases.com/prolonged-fever-11-month-old-male |
Cards
| Fever
Canuc-Paeds physician authored, replayable cases |
