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Feverish illness in children: assessment and initial management in children younger than 5 years [CG160]

Measuring the use of this guidance

Recommendation: 1.2.1.2

Children with feverish illness should be assessed for the presence or absence of symptoms and signs that can be used to predict the risk of serious illness using the traffic light system (see table 1).

What was measured: Children 1-4 years old who had global assessment documented
Data collection end: July 2009
43.6%
Number that met the criteria: / 383
Area covered: Local
Source: Blacklock C, Haj-Hassan TA, & Thompson MJ (2012). When and how do GPs record vital signs in children with acute infections? A cross-sectional study. British Journal of General Practice, Vol 62, e679-e686


Recommendation: 1.2.2.6

Measure and record temperature, heart rate, respiratory rate and capillary refill time as part of the routine assessment of a child with fever.

What was measured: Children <5 years who had temperature recorded
Data collection end: July 2009
45.1%
Number that met the criteria: / 505
Area covered: Local
Source: Blacklock C, Haj-Hassan TA, & Thompson MJ (2012). When and how do GPs record vital signs in children with acute infections? A cross-sectional study. British Journal of General Practice, Vol 62, e679-e686

What was measured: Children <5 years who had respiratory rate recorded
Data collection end: July 2009
25.5%
Area covered: Local
Source: Blacklock C, Haj-Hassan TA, & Thompson MJ (2012). When and how do GPs record vital signs in children with acute infections? A cross-sectional study. British Journal of General Practice, Vol 62, e679-e686

What was measured: Children <5 years who had cap refill time recorded
Data collection end: July 2009
23%
Area covered: Local
Source: Blacklock C, Haj-Hassan TA, & Thompson MJ (2012). When and how do GPs record vital signs in children with acute infections? A cross-sectional study. British Journal of General Practice, Vol 62, e679-e686

What was measured: Proportion of patients presenting with a fever who have their temperature, heart rate, respiratory rate and capillary refill time measured and recorded
Data collection end: August 2013
10%
Data collection end: January 2014
62%
Area covered: Local
Source: Andrews A (2015) The assessment and management of the febrile child under five in the primary care setting. Archives of Disease in Childhood, Conference (var.pagings): April

What was measured: Percentage of emergency department notes where the vital sign 'temperature' was recorded.
Data collection end: March 2016
95%
Area covered: UK
Source: Royal College of Emergency Medicine. Vital signs in children .

What was measured: Percentage of emergency department notes where the vital sign 'heart rate' was recorded.
Data collection end: March 2016
95%
Area covered: UK
Source: Royal College of Emergency Medicine. Vital signs in children .

What was measured: Percentage of emergency department notes where the vital sign 'respiratory rate' was recorded.
Data collection end: March 2016
89%
Area covered: UK
Source: Royal College of Emergency Medicine. Vital signs in children .

What was measured: Percentage of emergency department notes where the vital sign 'capillary refill time' was recorded.
Data collection end: March 2016
53%
Area covered: UK
Source: Royal College of Emergency Medicine. Vital signs in children .



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