akinohanayuki 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.

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.