This guideline has been updated in Nov 19. It was first published in 2007, then updated in 2013, when I first did this blog.
The main update this year is around Kawasaki disease. It used to be that Kawasaki disease was diagnosed if children had 4 out of 5 features. However it has now been realised that children diagnosed with Kawasaki disease often don’t have 4 out of the 5 features. Features often come and go throughout the course of the disease as well. Children under one year of age often don’t have as many additional features of Kawasaki disease.
So be aware of Kawasaki disease if children have a fever that lasts 5 days or more.