• Petechiae and purpura
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_Petechiae_Purpura/
    should be reviewed promptly by a senior clinician History Immunisation status - children <6 months of age … or with incomplete immunisation status  Rapid onset and/or rapid progression of symptoms and rash Medications: prior … of Disease in Childhood , 2016; 101:709-713. Waterfield, T. et al, Fifteen-minute consultation: the child …
  • Kawasaki disease
    www.rch.org.au/clinicalguide/guideline_index/Kawasaki_disease/
    ~75% of cases occur <5 years of age 2 nd most common childhood vasculitis after IgA vasculitis Growing … disease Kawasaki Disease Foundation Australia Immunisation guidance Additional notes Definitions Atypical … immunisation (eg MMR, MMRV, Varicella, Rotavirus) should be delayed for 11 months post IVIg administration (see …
  • Febrile child
    www.rch.org.au/clinicalguide/guideline_index/Febrile_child/
    fallen to <1% in healthy, immunised children Children with fever for ≥5 days should be assessed …, abdominal pain, musculoskeletal pain, rash Travel Sick contacts Immunisation: children <6 months age … or with incomplete immunisation Medication: prior treatment with antibiotics may mask signs of a bacterial infection …
  • Fever in the recently returned traveller
    www.rch.org.au/clinicalguide/guideline_index/Fever_in_the_recently_returned_traveller/
    contacts Immunisation history (routine childhood and travel specific, noting Salmonella typhi vaccination …). There are three main possibilities in terms of infection: Common childhood infections contracted whilst away …
  • Influenza
    www.rch.org.au/clinicalguide/guideline_index/Influenza/
    disease Premature infants <37/40 Immunosuppression Pregnancy On long term aspirin Management Immunisation … for severe influenza and pregnant women More information is available from the Australian Immunisation … BF, Håberg SE, Oakley L. Influenza hospitalizations during childhood in children born preterm …
  • Infantile spasms
    www.rch.org.au/clinicalguide/guideline_index/Infantile_spasms/
    of adrenal crisis Background Peak age of IS onset is 3 to 7 months but can occur at any age in childhood Most …. See Australian Immunisation Handbook . Consider nirsevimab as per local guidelines due to significant …
  • Altered conscious state
    www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
    episodes Injury: mechanism, timing Presence of fever Past and recent medical history including immunisation … of Disease in Childhood, 84 (3), 193-199. Tweet The Royal Children’s Hospital (RCH) acknowledges …
  • Immune thrombocytopenic purpura
    www.rch.org.au/clinicalguide/guideline_index/Immune_thrombocytopenic_purpura/
    , EBV, VZV) or recent live virus immunisation (eg MMR) Recent changes in medication Family history … of the management of childhood immune thrombocytopenia: how can we provide an evidence-based approach? Br J Haematol …
  • Bone and joint infection
    www.rch.org.au/clinicalguide/guideline_index/Bone_and_joint_infection/
    months to 4 years), immunisation status ( Haemophilus influenzae) and underlying illness (eg Salmonella … antimicrobial treatment for acute hematogenous osteomyelitis of childhood: prospective, randomized trial on 131 …
  • Cough
    www.rch.org.au/clinicalguide/guideline_index/Cough/
    to smoking or vaping (personal or passive) Immunisation status Family history of chronic lung disease, atopy …) * Last updated March 2025 Reference List Brodie, M. Childhood cough. BMJ. 2012. 344 (e1177). Retrieved …