Fever in the returning paediatric traveller
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Scope
This guideline should be considered for the following patient group:
- Any child presenting with fever of >38 degrees AND who has travelled out-with North America / Europe in the last 3 months.
- It is important to also consider malaria within 6 months of returning from an endemic area
Any child presenting with a fever >37.8 should initially be directed to the red pathway for initial assessment. Travel history will be addressed at this assessment and if appropriate the fever in the returning traveller guidance should be followed.
Use an up to date resource for accurate Malarial Maps and other concerns: http://www.fitfortravel.nhs.uk/home
If concerned about an outbreak of an infection, consider using ProMed: https://www.promedmail.org/
Viral Haemorrhagic Fever Outbreaks: https://www.gov.uk/guidance/viral-haemorrhagic-fevers-origins-reservoirs-transmission-and-guidelines
Last reviewed: 02 January 2021
Next review: 02 January 2023
Author(s): Dr Eleanor Shone (Medical Paediatric Trainee, RHCG); Dr Polly Kenyon (Medical Paediatric Trainee, RHCG). Correspondence author: Dr Steve Foster (Consultant in Paediatric Emergency Medicine, RHCG)
Co-Author(s): Dr Lyndsay Doran (Medical Paediatric Trainee, RHCG); Dr Conor Doherty (Consultant in Paediatric Infectious Diseases, RHCG) Stakeholders: Dr Louisa Pollock (Consultant in General Paediatrics and Infectious Diseases, RHCG); Dr Rosie Hague (Consultant in Paediatric Infectious Diseases and Immunology, RHCG); Dr Chris Moxon (Consultant in Paediatric Infectious Diseases, RHCG)
Approved By: RHCG Emergency Clinical Governance Group