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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Guideline adherence in febrile children below 3 months visiting European Emergency Departments: an observational multicenter study
European Journal of Pediatrics, Volume 181, No. 12, Year 2022
Notification
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Description
Febrile children below 3 months have a higher risk of serious bacterial infections, which often leads to extensive diagnostics and treatment. There is practice variation in management due to differences in guidelines and their usage and adherence. We aimed to assess whether management in febrile children below 3 months attending European Emergency Departments (EDs) was according to the guidelines for fever. This study is part of the MOFICHE study, which is an observational multicenter study including routine data of febrile children (0–18 years) attending twelve EDs in eight European countries. In febrile children below 3 months (excluding bronchiolitis), we analyzed actual management compared to the guidelines for fever. Ten EDs applied the (adapted) NICE guideline, and two EDs applied local guidelines. Management included diagnostic tests, antibiotic treatment, and admission. We included 913 children with a median age of 1.7 months (IQR 1.0–2.3). Management per ED varied as follows: use of diagnostic tests 14–83%, antibiotic treatment 23–54%, admission 34–86%. Adherence to the guideline was 43% (374/868) for blood cultures, 29% (144/491) for lumbar punctures, 55% (270/492) for antibiotic prescriptions, and 67% (573/859) for admission. Full adherence to these four management components occurred in 15% (132/868, range 0–38%), partial adherence occurred in 56% (484/868, range 35–77%). Conclusion: There is large practice variation in management. The guideline adherence was limited, but highest for admission which implies a cautious approach. Future studies should focus on guideline revision including new biomarkers in order to optimize management in young febrile children.What is Known:• Febrile children below 3 months have a higher risk of serious bacterial infections, which often leads to extensive diagnostics and treatment.• There is practice variation in management of young febrile children due to differences in guidelines and their usage and adherence.What is New:• Full guideline adherence is limited, whereas partial guideline adherence is moderate in febrile children below 3 months across Europe.• Guideline revision including new biomarkers is needed to improve management in young febrile children. © 2022, The Author(s).
Authors & Co-Authors
Vermont, Clementien L.
Netherlands, Rotterdam
Erasmus Mc
von Both, Ulrich
Germany, Munich
Ludwig-maximilians-universität München
Germany, Munich
Partner Site Munich
Carrol, Enitan D.
United Kingdom, Liverpool
University of Liverpool
United Kingdom, Liverpool
Alder Hey Children's Nhs Foundation Trust
Eleftheriou, Irini
Unknown Affiliation
Emonts, Marieke
United Kingdom, Newcastle
The Newcastle Upon Tyne Hospitals Nhs Foundation Trust
United Kingdom, Newcastle
Newcastle University
van der Flier, Michiel
Netherlands, Nijmegen
Radboud University Medical Center
Netherlands, Utrecht
University Medical Center Utrecht
de Groot, Ronald C.A.
Netherlands, Nijmegen
Radboud University Medical Center
Herberg, Jethro Adam
United Kingdom, London
Imperial College London
Kohlmaier, Benno
Austria, Graz
Medizinische Universität Graz
Levin, Michael L.
United Kingdom, London
Imperial College London
Lim, Emma J.
United Kingdom, Newcastle
The Newcastle Upon Tyne Hospitals Nhs Foundation Trust
United Kingdom, Newcastle
Newcastle University
Maconochie, Ian
United Kingdom, London
Imperial College Healthcare Nhs Trust
Martinón-Torres, Federico
Spain, Santiago de Compostela
Hospital Clínico Universitario de Santiago
Nijman, Ruud Gerard
United Kingdom, London
Imperial College London
Pokorn, Marko
Slovenia, Ljubljana
Univerza V Ljubljani Medicinska Fakulteta
Rivero, Irene
Spain, Santiago de Compostela
Hospital Clínico Universitario de Santiago
Tsolia, Maria N.
Unknown Affiliation
Yeung, Shunmay M.
United Kingdom, London
London School of Hygiene & Tropical Medicine
Zenz, Werner M.
Austria, Graz
Medizinische Universität Graz
Zavadska, Dace
Latvia, Riga
Bērnu Klīniskā Universitātes Slimnīca
Moll, Henriëtte A.
Netherlands, Rotterdam
Erasmus Mc
Levin, Michael E.
Unknown Affiliation
Cunnington, Aubrey J.
Unknown Affiliation
De, Tisham
Unknown Affiliation
Kaforou, Myrsini
Unknown Affiliation
Wright, Victoria J.
Unknown Affiliation
Baumard, Lucas
Unknown Affiliation
Bellos, Evangelos
Unknown Affiliation
D’Souza, Giselle
Unknown Affiliation
Galassini, Rachel
Unknown Affiliation
Habgood-Coote, Dominic
Unknown Affiliation
Hamilton, Shea
Unknown Affiliation
Hoggart, Clive J.
Unknown Affiliation
Hourmat, Sara
Unknown Affiliation
Jackson, Heather R.
Unknown Affiliation
Menikou, Stephanie
Unknown Affiliation
Lin, Naomi
Unknown Affiliation
Nichols, Samuel J.
Unknown Affiliation
Shah, Priyen
Unknown Affiliation
Vito, Ortensia
Unknown Affiliation
Wilson, Clare M.
Unknown Affiliation
Abdulla, Amina F.
Unknown Affiliation
Ali, Ladan
Unknown Affiliation
Darnell, Sarah
Unknown Affiliation
Jorgensen, Rikke
Unknown Affiliation
Mustafa, Sobia
Unknown Affiliation
Persand, Salina
Unknown Affiliation
Stevens, Molly M.
Unknown Affiliation
Kim, Eunjung
Unknown Affiliation
Pierce, Benjamin
Unknown Affiliation
Fidler, Katy J.
Unknown Affiliation
Dudley, Julia R.
Unknown Affiliation
Richmond, Vivien
Unknown Affiliation
Tavliavini, Emma
Unknown Affiliation
Liu, Chingchuan
Unknown Affiliation
Wang, Shihmin
Unknown Affiliation
Salas, Antonio
Unknown Affiliation
Barral-Arca, Ruth
Unknown Affiliation
Bello, Xabier
Unknown Affiliation
Carnota, Sandra
Unknown Affiliation
Cebey-López, Miriam
Unknown Affiliation
Currás-Tuala, María José
Unknown Affiliation
García Vicente, Luisa
Unknown Affiliation
Gõmez-Carballa, Alberto
Unknown Affiliation
Gómez-Rial, José
Unknown Affiliation
Leborans-Iglesias, Pilar
Unknown Affiliation
Martinón-Torres, Nazareth
Unknown Affiliation
Martinón-Sánchez, José María
Unknown Affiliation
Mosquera Pérez, Belén
Unknown Affiliation
Pardo-Seco, Jacobo
Unknown Affiliation
Pischedda, Sara
Unknown Affiliation
Rodríguez-Tenreiro, Carmen
Unknown Affiliation
Redondo Collazo, Lorenzo
Unknown Affiliation
Serén Fernández, Sonia
Unknown Affiliation
Gardovska, Dace Kh
Unknown Affiliation
Usuf, Effua Abigail
Unknown Affiliation
Bojang, Kalifa A.
Unknown Affiliation
Zaman, Syed M.A.
Unknown Affiliation
Secka, Fatou
Unknown Affiliation
Anderson, Suzanne T.B.
Unknown Affiliation
Sarr, Isatou
Unknown Affiliation
Darboe, Saffiatou
Unknown Affiliation
Ceesay, Samba
Unknown Affiliation
D‘Alessandro, Umberto
Unknown Affiliation
Moll, Henriëtte A.
Unknown Affiliation
Hagedoorn, Nienke N.
Unknown Affiliation
Dik, Willem Arnout
Unknown Affiliation
Schlapbach, Luregn J.
Unknown Affiliation
Pósfay-Barbe, Klara Maria
Unknown Affiliation
Heininger, Ulrich
Unknown Affiliation
Kahlert, Christian R.
Unknown Affiliation
Riedel, Thomas
Unknown Affiliation
Berger, Christoph Tobias
Unknown Affiliation
Paulus, Stéphane C.
Unknown Affiliation
Jennings, Rebecca J.
Unknown Affiliation
Romaine, Sam T.
Unknown Affiliation
Fink, Colin G.
Unknown Affiliation
Voice, Marie
Unknown Affiliation
Calvo-Bado, Leo A.
Unknown Affiliation
Schweintzger, Nina Alexandra
Unknown Affiliation
Sagmeister, Manfred G.
Unknown Affiliation
Kohlfürst, Daniela S.
Unknown Affiliation
Binder, Alexander
Unknown Affiliation
Benesch, Martin
Unknown Affiliation
Eber, Ernst
Unknown Affiliation
Sperl, Matthias
Unknown Affiliation
Till, Holger Karl H.
Unknown Affiliation
Trobisch, Andreas
Unknown Affiliation
Dewez, Juan Emmanuel
Unknown Affiliation
Hibberd, Martin Lloyd
Unknown Affiliation
Bath, David
Unknown Affiliation
Wedderburn, Catherine J.
Unknown Affiliation
Leurent, Baptiste
Unknown Affiliation
de Jonge, Marien Isaäk
Unknown Affiliation
van Aerde, Koen J.
Unknown Affiliation
Alkema, Wynand B.L.
Unknown Affiliation
Philipsen, Ria La
Unknown Affiliation
Obihara, Charlie C.C.
Unknown Affiliation
Pollard, Andrew J.
Unknown Affiliation
Kandasamy, Rama
Unknown Affiliation
Carter, Michael J.
Unknown Affiliation
Bibi, Sagida
Unknown Affiliation
Kelly, Dominic F.
Unknown Affiliation
Gurung, Meeru
Unknown Affiliation
Murdoch, David Roger
Unknown Affiliation
Shrestha, Shrijana R.
Unknown Affiliation
Agbeko, Rachel Sarah
Unknown Affiliation
Martin, Alexander James
Unknown Affiliation
de Vries, Gabriella
Unknown Affiliation
van der Velden, Fabian Johannes Stanislaus
Unknown Affiliation
Kolberg, Laura
Unknown Affiliation
Bidlingmaier, Christoph M.
Unknown Affiliation
Danhauser, Katharina
Unknown Affiliation
Griese, Matthias
Unknown Affiliation
Feuchtinger, Tobias
Unknown Affiliation
Lurz, Eberhard
Unknown Affiliation
Reiter, Karl
Unknown Affiliation
Mallet, François
Unknown Affiliation
Brengel-Pesce, Karen
Unknown Affiliation
Pachot, Alexandre
Unknown Affiliation
Mommert, Marine
Unknown Affiliation
Kolnik, Mojca
Unknown Affiliation
Vincek, Katarina
Unknown Affiliation
Kuijpers, Taco W.
Unknown Affiliation
van den Berg, J. Merlijn
Unknown Affiliation
Barendregt, Anouk Marinke
Unknown Affiliation
Pajkrt, Dasja
Unknown Affiliation
van der Kuip, Martijn
Unknown Affiliation
van Mierlo, Gerard J.
Unknown Affiliation
Statistics
Citations: 2
Authors: 149
Affiliations: 16
Identifiers
Doi:
10.1007/s00431-022-04606-5
ISSN:
03406199
Research Areas
Maternal And Child Health