Here in Melbourne we are wanting to update our clinical practice guideline 
for management of fever in children. We wish to include a section on the 
management of the child with ongoing fever who has been on antibiotics for 
24 hours or more.

A search of publications, guideline clearing houses and the Internet has 
not provided any existing evidence to support a given practice.

Can I ask the list what the practices are in other institutions, and for 
individual thoughts. Do all these kids need septic work up? Do they all 
need LP? Is watchful waiting reasonable?

Any thoughts or information would be appreciated


Ed Oakley
Paediatric Emergency Physician
Department of Emergency Medicine
Royal Children's Hospital,
Flemington Rd
Parkville Victoria  3052

Tel: +61 3 9345-6592
Fax: +61 3 9345-5938
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