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The Centor criteria were originally developed for adults. A study published in the British Medical Journal in 2013 looked at whether it could be applied to children aged 2–16. It was a retrospective study (2008–2010) and looked at 441 children who attended a Belgian hospital emergency department and had a throat swab taken.
Diagnosis of continuous fever is usually based on the clinical signs and symptoms but some biological tests, chest X-ray and CT scan are also used. [2] Typhoid fever is an example of continuous fever and it shows a characteristic step-ladder pattern, a step-wise increase in temperature with a high plateau.
One treatment often used is a dose of a corticosteroid at the beginning of each fever episode. [4] A single dose usually ends the fever within several hours. [4] However, in some children, they can cause the fever episodes to occur more frequently. [4] Interleukin-1 inhibition appears to be effective in treating this condition. [5]
The treatment of choice is penicillin, and the duration of treatment is around 10 days. [23] Antibiotic therapy (using injected penicillin) has been shown to reduce the risk of acute rheumatic fever. [24] In individuals with a penicillin allergy, erythromycin, other macrolides, and cephalosporins have been shown to be effective treatments. [25]
Strep throat is a common bacterial infection in children. [2] It is the cause of 15–40% of sore throats among children [7] [13] and 5–15% among adults. [8] Cases are more common in late winter and early spring. [13] Potential complications include rheumatic fever and peritonsillar abscess. [1] [2]
As of March 2024, the Centers for Disease Control and Prevention no longer advises a five-day isolation period when you test positive for COVID-19, but recommends taking other precautions once ...
Another needed bit of information is to decide who qualifies as a pediatric patient and who qualifies as an adult. This can quickly be decided by a rapid check for underarm hair development on boys, and breast bud or breast development on girls. If the age is known, the age cut off for child versus adult is 8 years old. [2]
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