さまよう薬剤師のブログ

学位を持っても、センスのない、感染制御専門薬剤師のブログ.  I have Ph.D. but less sense ID pharmacist. Another face is an investor.

子の発熱

朝の寝起きが悪く、だるそう。。

 

熱を測ると「39度」

呼吸大丈夫、頭痛を疑う症状なし、吐き気なし、皮膚疾患なさそう

ってことで、以前処方してもらっていた

アセトアミノフェン座薬を使いました。

 

その後、熱が下がり今は元気にトトロを見ています。

熱が続き、泣きもせずに、とろーんとしていたら、病院に連れて行こうと思っていたので良かったです。

しかし、結局、私が風邪になってしまいました。

 

3〜36か月児の発熱について、

「Up To Date (2015.4.25)」 以下抜粋です。

 

General issues

The following recommendations apply to well-appearing children 3 to 36 months of age, with fever ≥39ºC (102.2ºF), who have no underlying medical condition that would alter susceptibility to infection, and no focus of infection identified by a complete physical examination, hereafter referred to as children with fever without a source (FWS). 

The majority of children with fever have either a self-limited viral infection or a recognizable source of bacterial infection

Serious bacterial infections that occur in children 3 to 36 months of age include meningitis, pneumonia, and focal skin infections.

pneumonia or osteomyelitis, can sometimes be identified with a careful history and physical examination.

Relatively common occult sources of infection include pneumonia and urinary tract infections (UTIs), with occasional cases of bacteremia.

A thorough history, including immunization status and complete physical examination, should be performed in all febrile children to identify obvious and subtle focuses of infection.

 

Clinical follow-up

We recommend that children with fever that persists for more than 48 hours or with a deterioration in clinical condition undergo repeat medical evaluation.