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- W2140608179 abstract "markdownabstract__Abstract__Children constitute a substantial part of the workload of physicians in primary care and hospitalemergency care. In the Netherlands, about 70% of the 3.9 million inhabitants less than 20 yearsof age had one or more contacts with their general practitioner (GP) in 2011. Primary out-ofhourscare is annually visited by approximately 600,000 children younger than 14 years of ageand hospital emergency departments (EDs) by nearly 400,000 children in this age group.Fever is one of the most common reasons for children to consult a physician. The incidenceof fever as a reason for contacting primary care is approximately 430 per 1,000 patients/yearunder the age of 5 years. The overall incidence rate of the diagnosis of fever (without apparentsource) in primary care is 19.2 per 1,000 patients/year, with the highest rate for children lessthan one year (100 per 1,000 patients/year) and the lowest rate for children aged 10 to 17 years(2.7 per 1,000 patients/year). At the ED, fever is also one of the main presenting problems andaccounts for about 10% to 30% of all visits by children.Most acute febrile illnesses are caused by self-limiting viral infections, which do not requireantibiotic treatment, diagnostic procedures, or hospitalization. However, a minority of febrilechildren develop a serious infection, such as meningitis, sepsis, pneumonia or urinary tractinfection, for which timely diagnosis and targeted therapy are necessary to prevent harm. Inprimary care, the annual incidence of serious infections is about 1%, with a peak incidencerate among the youngest children (0 to 4 years: 21.1 per 1,000 patients/year). At the hospitalED about 15% to 20% of febrile children are diagnosed with a serious infection. Seriousinfections are an important cause of morbidity and mortality, especially in young children.Infections accounted for about 15% to 20% of all childhood deaths by natural cause in theNetherlands and the United Kingdom." @default.
- W2140608179 created "2016-06-24" @default.
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- W2140608179 date "2013-12-04" @default.
- W2140608179 modified "2023-09-24" @default.
- W2140608179 title "Alarming signs of serious infections in febrile children: Studies in primary care and hospital emergency care" @default.
- W2140608179 hasPublicationYear "2013" @default.
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