FEVR NICE OVER 3 MO

• Investigate fever with no source if they have any red features – FBC, CRP, B/C and urine.  Consider LP, CXR, UEC and gas if indicated.
• Investigate fever with no source if there are any amber features unless deemed unnecessary by an experienced paediatrician.  This is clearly the greyest area.  My rule of thumb is that if they look well (clinical judgement), and are not tachycardic then I would not bother doing bloods – NICE doesn’t offer any further advice on this unfortunately.
• Check urine for all children with fever (over 37.5) and no source, even if they aregreen.