Accès ouvert déclaré
2022
article
Guideline adherence in febrile children below 3 months visiting European Emergency Departments: an observational multicenter study
Chantal Tan, Eline E. P. L. van der Walle, Clementien L. Vermont, Ulrich von Both, Enitan D. Carrol, Irini Eleftheriou, Marieke Emonts, Michiel van der Flier, Ronald de Groot, Jethro Herberg, Benno Kohlmaier, Michael Levin, Emma Lim, Ian Maconochie, Federico Martinón‐Torres, Ruud Nijman, Marko Pokorn, Irene Rivero‐Calle, Μαρία Τσολιά, Shunmay Yeung, Werner Zenz, Dace Zavadska, Henriëtte A. Moll, Aubrey J. Cunnington, Tisham De, Myrsini Kaforou, Victoria Wright, Lucas Baumard, Evangelos Bellos, Giselle D’Souza, Rachel Galassini, Dominic Habgood-Coote, Shea Hamilton, Clive Hoggart, Sara Hourmat, Heather Jackson, Stephanie Menikou, Naomi Lin, Samuel Nichols, Ivonne Pena Paz, Priyen Shah, Ching‐Fen Shen, Ortensia Vito, Clare Wilson, Amina Abdulla, Ladan Ali, Sarah Darnell, Rikke Jørgensen, Sobia Mustafa, Salina Persand, Molly M. Stevens, Eunjung Kim, Benjamin C. Pierce, Katy Fidler, Julia Dudley, Vivien Richmond, Emma Tavliavini, Hsiao‐Sheng Liu, Shih-Min Wang, Antonio Salas, Fernando Álvez González, Cristina Balo Farto, Ruth Barral‐Arca, María Barreiro Castro, Xabier Bello, Mirian Ben García, Sandra Carnota, Miriam Cebey‐López, María José Currás-Tuala, Carlos Durán Suárez, Luisa García Vicente, Alberto Gómez‐Carballa, José Gómez Rial, Pilar Leboráns Iglesias, José María Martinón Sánchez, Belén Mosquera Pérez, Jacobo Pardo‐Seco, Lidia Piñeiro Rodríguez, Sara Pischedda, Sara Rey Vázquez, Carmen Rodrı́guez-Tenreiro, Lorenzo Redondo-Collazo, Miguel Sadiki Ora, Sonia Serén Fernández, Cristina Serén Trasorras, Marisol Vilas Iglesias, Anda Balode, Arta Bārzdiņa, Dãrta Deksne, Dace Gardovska, Dagne Grãvele, Ilze Grope, Anija Meiere, Ieva Nokalna, Jana Pavāre, Zanda Pučuka, Katrīna Selecka, Aleksandra Sidorova, Dace Svile, Urzula Nora Urbāne, Effua Usuf, Kalifa Bojang, Syed M. A. Zaman, Fatou Secka, Suzanne P. Anderson, Anna Roca, Isatou Sarr, Momodou Saidykhan, Saffiatou Darboe, Samba Ceesay, Umberto D’Alessandro, Dorine Borensztajn, Nienke N. Hagedoorn, Joany M. Zachariasse, Willem A. Dik, Philipp Agyeman, Luregn J. Schlapbach, Christoph Aebi, Verena Wyss, Mariama Usman, Éric Giannoni, Martin Stocker, Klara M. Posfay‐Barbe, Ulrich Heininger, Sara Bernhard‐Stirnemann, Anita Niederer-Loher, Christian R. Kahlert, Giancarlo Natalucci, Christa Relly, Thomas Riedel, Christoph Berger, Stéphane Paulus, Elizabeth Cocklin, Rebecca B. Jennings, Joanne Johnston, Simon Leigh, Karen Newall, Sam Romaine, Maria Tambouratzi, Marietta Xagorari, Kelly Syggelou, Colin G. Fink, Marie Voice, Leo Calvo‐Bado, Nina A. Schweintzger, Manfred G. Sagmeister, Daniela S. Kohlfürst, Christoph Zurl, Alexander Binder, Susanne Hösele, Manuel Leitner, Lena Pölz, Glorija Rajic, Sebastian Bauchinger, Hinrich Baumgart, Martin Benesch, Astrid Ceolotto, Ernst Eber, Siegfried Gallistl, Gunther Gores, Harald Haidl, Almuthe Hauer, Christa Hude, Markus Keldorfer, Larissa Krenn, Heidemarie Pilch, Andreas Pfleger, Klaus Pfurtscheller, Gudrun Nordberg, Tobias Niedrist, Siegfried Rödl, Andrea Skrabl‐Baumgartner, Matthias Sperl, Laura Stampfer, Volker Strenger, Holger Till, Andreas Trobisch, Sabine Löffler, Juan Emmanuel Dewez, Martin L. Hibberd, David Bath, Alec Miners, Catherine J. Wedderburn, Anne Meierford, Baptiste Leurent, Marien I. de Jonge, Koen van Aerde, Wynand Alkema, Bryan van den Broek, Jolein Gloerich, Alain J. van Gool, Stefanie Henriet, Martijn Huijnen, Ria Philipsen, Esther Willems, G.P.J.M. Gerrits, M. van Leur, J. Heidema, L. de Haan, C.J. Miedema, C. Neeleman, C.C. Obihara, Gerdien A. Tramper‐Stranders, Andrew J. Pollard, Rama Kandasamy, Michael J. Carter, Daniel O’Connor, Sagida Bibi, Dominic F. Kelly, Meeru Gurung, Stephen Thorson, Imran Shafique Ansari, David R. Murdoch, Shrijana Shrestha, Zoe Oliver, Lucille Valentine, Karen N. Allen, Kathryn Bell, Adora Chan, Stephen Crulley, Kirsty Devin, Daniel Fabián, Sharon King, Paul McAlinden, Sam McDonald, Anne McDonnell, Ailsa Pickering, E. Thomson, Amanda Wood, Diane Wallia, Phil Woodsford, Frances Baxter, Ashley Bell, Mathew Rhodes, Rachel Agbeko, Christine Mackerness, Bryan Baas, Lieke Kloosterhuis, Wilma Oosthoek, Tasnim Arif, Joshua Bennet, Kalvin Collings, Ilona van der Giessen, Alex Martin, Aqeela Rashid, Emily Rowlands, Gabriella de Vries, Fabian van der Velden, Mike Martin, Ravi Mistry, Laura Kolberg, Manuela Zwerenz, Judith Buschbeck, Christoph Bidlingmaier, Vera Binder, Katharina Danhauser, Nikolaus Haas, Matthias Griese, Tobias Feuchtinger, Julia Keil, Matthias Kappler, Eberhard Lurz, Georg Muench, Karl Reiter, Carola Schoen, François Mallet, Karen Brengel‐Pesce, Alexandre Pachot, Marine Mommert, Mojca Kolnik, Katarina Vincek, Tina Plankar Srovin, Natalija Bahovec, Petra Prunk, Veronika Osterman, Tanja Avramoska, Taco Kuijpers, Ilse Jongerius, J.M. van den Berg, D. Schonenberg, Anouk M. Barendregt, D. Pajkrt, Martijn van der Kuip, A. Marceline van Furth, Evelien G. G. Sprenkeler, Judith Zandstra, G. van Mierlo, Judy Geissler
14Citations signalées — pas une note de qualité
22Institutions déclarées
7Pays d’affiliation déclarés
Résumé fourni par la source
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.
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Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Guideline adherence in febrile children below 3 months visiting European Emergency Departments: an observational multicenter study
- Date Crossref
- 30/09/2022
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Neutropenia and Cancer InfectionsPediatric Urology and Nephrology StudiesHematological disorders and diagnostics