What is the role of immunization history in the emergent management of pediatric patients with fever?

Updated: Jul 23, 2019
  • Author: Hina Z Ghory, MD; Chief Editor: Russell W Steele, MD  more...
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Answer

Answer

Determine the patient's immunization status; see the 2017 immunization schedule. [11] Simply asking whether the child is “up to date” with immunizations may not elicit enough information. Ask how many doses of pneumococcal conjugate (PCV-7) and Haemophilus influenzae type B (HIB) vaccines have been administered. It is also important to inquire about which immunizations have been administered recently.

Some children may not be fully immunized—because of compliance, finances, or perceived health risks, [13] —and thus may be at risk for the infections covered by these vaccines. On the other hand, recent vaccinations might have caused an elevation in the patient's temperature.


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