Infectious Disease Book

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Yale Scale for Febrile Child 3 to 36 months

Aka: Yale Scale for Febrile Child 3 to 36 months, Yale Observation Scale for Febrile Children, Yale Observation Scale, Yale Scale for Child with Fever, Febrile Child Evaluation with Yale Scale
  1. See Also
    1. Fever Without Focus
    2. Fever Without Focus Management Birth to 3 Months
    3. Fever Without Focus Management 3 to 36 months
    4. Philadelphia Criteria for Febrile Infant 29-60 days
    5. Milwaukee Criteria for Febrile Infant 28-56 days
    6. Boston Criteria for Febrile Infant 28-89 days
    7. Fever Without Focus Red Flags
    8. Pediatric Sepsis
    9. Neonatal Sepsis
  2. Indications
    1. Assessment of febrile child ages 3-36 months
    2. Predicts serious infection (Occult Bacteremia)
    3. Quantifies "Toxic Appearance" in children
  3. Interpretation
    1. Score = 10
      1. Incidence serious illness: 2.7%
    2. Score = 11-15
      1. Incidence serious illness: 26%
    3. Score >16
      1. Incidence serious illness: 92.3%
  4. Scoring
    1. Quality of Cry
      1. Strong or No cry: 1
      2. Whimper or Sob: 3
      3. Weak cry, Moan, or high pitched cry: 5
    2. Reaction to parents
      1. Brief Cry or Content: 1
      2. Cries off and on: 3
      3. Persistent cry: 5
    3. State variation
      1. Awakens quickly: 1
      2. Difficult to awaken: 3
      3. No arousal or falls asleep: 5
    4. Color
      1. Pink: 1
      2. Acrocyanosis: 3
      3. Pale, Cyanotic, or Mottled: 5
    5. Hydration
      1. Eyes, skin, and mucus membranes moist: 1
      2. Mouth slightly dry: 3
      3. Mucus Membranes dry, eyes sunken: 5
    6. Social Response
      1. Alert or Smiles: 1
      2. Alert or brief smile: 3
      3. No smile, anxious, or dull: 5
  5. References
    1. McCarthy (1982) Pediatrics 70:802-9 [PubMed]
    2. McCarthy (1985) Pediatrics 76:167-71 [PubMed]
    3. McCarthy (1987) J Pediatr 110:26-30 [PubMed]

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