Advice following your child’s discharge
Most illnesses in children are caused by viruses and are therefore self limiting. They usually resolve within a week or so and require no specific treatment. A temperature is the body’s way of indicating that there is an infection present. The only reason for treating a temperature is to make the child feel better. It is not to prevent seizures. If a child has a seizure it is usually due to a very rapid rise in temperature.
Occasionally a secondary bacterial infection can complicate a viral illness. It is not possible to predict which children will go on to develop complications.
Signs to look out for are:
- Temperature which lasts more than 5 days
- Very rapid breathing or noisy breathing
- Difficulty feeding or talking
- Persistent vomiting for > 24 hours
- Very reduced fluid intake (less than 50% of normal)
- Reduced urine output / dry nappies for more than 8 hours
- Diarrhoea lasting> 1 week
- Stools with blood or mucus
- Worsening abdominal pain
- Reduced level of consciousness / unable to rouse
- Unusual jerking movements of limbs
- Dark purple pinprick rash which doesn’t disappear when a glass is placed on it
If your child develops any of these symptoms, or if you continue to be concerned, you should bring your child back to the Paediatric A&E Department.