- Fever in children
- Meningococcal septicaemia
- Sepsis identification and treatment
- Children with sickle cell have a 400-fold increased risk of sepsis due to pneumococcus and salmonella. am
- Severe sepsis 15% more common in boys.
In children, shock is more likely to be associated with profound hypovolaemia. They often need more aggressive fluid resuscitation than adults.
Recognition of Sepsis
The NICE traffic light guidelines on feverish illness provide a useful structure for assessing children.
Colour - normal, pale, mottled, ashen or blue?
Activity - responds normally, not responding to social cues, appears ill to an HCP
Respiratory - any signs of respiratory distress?
Circulation - any signs of dehydration?
Other - any amber signs, fever for more than 5 days, swelling of a joint
The college has clear standards for managing sepsis and meningitis in children, and fever in children which will be looked at in more detail when we get to the "fever" section.