TY - JOUR T1 - NICE guideline review: fever in under 5s: assessment and initial management (NG143) JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed DO - 10.1136/archdischild-2021-321718 SP - edpract-2021-321718 AU - Siba Prosad Paul AU - Prashant Karkala Kini AU - Shiv Ratan Tibrewal AU - Paul Anthony Heaton Y1 - 2021/07/09 UR - http://ep.bmj.com/content/early/2021/07/09/archdischild-2021-321718.abstract N2 - Feverish illness is one of the leading causes for a child to be seen by healthcare professionals, and is a major cause for hospital admissions.In 2007, the National Institute for Health and Care Excellence (NICE) published the original guidance on feverish illness in children (CG47). This was developed to aid healthcare professionals in their decision-making process while managing children aged <5 years with fever. This guidance has been revised multiple times in 2013 (CG160) and 2019 (NG143) and was updated in 2017.The current update (NG143) has made specific recommendations on assessment for Kawasaki disease in febrile children.1 Most of the recommendations from the past update 2013 (CG160) have been retained.This guideline should be used in conjunction with other NICE guidelines on gastroenteritis (CG84), urinary tract infection (CG54), neonatal infection (NG195), bacterial meningitis (CG102) and sepsis (NG51) (see box 1).Box 1 ResourcesFever in under 5s: assessment and initial management (National Institute for Health and Care Excellence guideline 2019): https://www.nice.org.uk/guidance/ng143Sepsis: recognition, diagnosis and early management (National Institute for Health and Care Excellence guideline 2016): https://www.nice.org.uk/guidance/ng51Neonatal infection: antibiotics for prevention and treatment (National Institute for Health and Care Excellence guideline 2021): https://www.nice.org.uk/guidance/ng195Meningitis (bacterial) and meningococcal septicaemia in under 16s: recognition, diagnosis and management (National Institute for Health and Care Excellence guideline 2010): https://www.nice.org.uk/guidance/cg102Urinary tract infection in under 16s: diagnosis and management (National Institute for Health and Care Excellence guideline 2007): https://www.nice.org.uk/guidance/cg54Diarrhoea and vomiting caused by gastroenteritis in under 5s: diagnosis and management (National Institute for Health and Care Excellence guideline 2009): https://www.nice.org.uk/Guidance/CG84The incidence and type of serious bacterial infection is likely to have changed following the introduction of newer vaccines.2 3 This review encompasses recommendations from the NICE guideline NG143 (2019).Definition of feverChildren <3 months with temperature ≥38°C should be included in red … ER -