Table 2 Adherence, by clinical indicator, 2012–2013

FEVE01

Children with a fever (over 38 °C) had all recent antibiotic treatment documented.

Assessment

45.9 (34.0, 58.1)

FEVE02

Neonates aged < 1 month with a fever (over 38 °C) had the GBS status of their mother documented.

Assessment

Insufficient data

FEVE03

Children with a fever (over 38 °C) had their fluid intake documented.

Assessment

53.3 (39.8, 66.4)

FEVE04

Children with a fever (over 38 °C) had their length of illness documented.

Assessment

90.4 (78.5, 97.0)

FEVE05

Children with a fever (over 38 °C) had any recent travel documented.

Assessment

16.3 (11.1, 22.8)

FEVE06

Children with a fever (over 38 °C) had their immunisation status documented.

Assessment

79.7 (66.8, 89.3)

FEVE07

Children with a fever (over 38 °C) had whether they were in direct contact with unwell people documented.

Assessment

29.0 (18.2, 42.0)

FEVE08

Children with a fever (over 38 °C) aged 4–15 years old had the presence of headaches documented.

Assessment

22.0 (5.8, 48.8)

FEVE09

Children with a fever (over 38 °C) had the presence of diarrhoea and vomiting documented.

Assessment

65.8 (59.1, 72.1)

FEVE10

Children with a fever (over 38 °C) had the presence of abdominal pain documented.

Assessment

59.3 (50.2, 67.9)

FEVE11

Children with a fever (over 38 °C) had the presence of joint symptoms documented.

Assessment

14.7 (9.5, 21.3)

FEVE12

Children with a fever (over 38 °C) had their alertness assessed.

Assessment

66.1 (56.2, 75.1)

FEVE13

Children with a fever (over 38 °C) had their vital signs assessed.

Assessment

45.9 (35.5, 56.7)

FEVE14

Children with a fever (over 38 °C) had their airway, breathing and any signs of stridor assessed.

Assessment

59.8 (44.4, 74.0)

FEVE15

Children with a fever (over 38 °C) had their circulation and capillary refill assessed.

Assessment

39.8 (32.4, 47.4)

FEVE16

Children with a fever (over 38 °C) had their cough assessed.

Assessment

61.8 (49.8, 72.9)

FEVE17

Children with a fever (over 38 °C) had their mucous membranes assessed.

Assessment

32.1 (24.4, 40.5)

FEVE18

Children with a fever (over 38 °C) aged 4–15 years old were assessed for photophobia.

Assessment

22.1 (4.2, 54.1)

FEVE19

Children with a fever (over 38 °C) were assessed for the presence of any neck stiffness.

Assessment

32.9 (23.6, 43.4)

FEVE20

Children with a fever (over 38 °C) were assessed for a rash.

Assessment

57.2 (48.3, 65.8)

FEVE21

Children with a fever (over 38 °C) were assessed for otitis media or received an examination of their eardrums.

Assessment

87.4 (74.3, 95.4)

FEVE22

Infants aged < 1 month presenting to the GP with a fever (over 38 °C) were referred to hospital.

Treatment

Insufficient data

FEVE23

Infants aged 0–3 months who presented with fever (over 38 °C) were referred to hospital.

Treatment

Insufficient data

FEVE24

Infants aged 0–3 months with a fever (over 38 °C) received a sepsis work-up.

Diagnostics

85.6 (66.1, 96.2)

FEVE25

Infants aged 0–1 months with a fever (over 38 °C) received parenteral antibiotics.

Treatment

85.1 (64.6, 96.2)

FEVE26

Children aged 3 months to 3 years with a fever (over 38 °C) who had no clear source of infection, appeared well and were fully immunised received urine microscopy.

Diagnostics

77.7 (63.9, 88.2)

FEVE27

Children aged 3 months to 3 years with a fever (over 38 °C) who had no clear source of infection, appeared well and were fully immunised were discharged home.

Treatment

92.4 (86.9, 96.1)

FEVE28

Parents of children aged 3 months to 3 years with a fever (over 38 °C) who had no clear source of infection, appeared well and were fully immunised were advised to have their child reviewed if they deteriorate.

Treatment

86.2 (73.9, 94.1)

FEVE29

Children aged ≥3 years with a fever (over 38 °C), no clinical focus and who were well were not prescribed antibiotics.

Treatment

78.8 (51.1, 95.0)

FEVE30

Infants and children who presented to ED with a fever (over 38 °C) who were shocked, unrousable OR showing signs of meningococcal disease received immediate antibiotics.

Treatment

Insufficient data

FEVE31

Infants and children who presented to ED with a fever (over 38 °C) and were shocked, unrousable OR showing signs of meningococcal disease received immediate fluid resuscitation.

Treatment

Insufficient data

FEVE32

Infants and children who presented to ED with a fever (over 38 °C) and were shocked, unrousable OR showing signs of meningococcal disease were referred or retrieved to a PICU.

Treatment

Insufficient data

FEVE33

Infants and children who presented to their GP with a fever (over 38 °C) and were shocked, unrousable OR showing signs of meningococcal disease received immediate antibiotics.

Treatment

Insufficient data

FEVE34

Infants and children who presented to their GP with a fever (over 38 °C) and were shocked, unrousable OR showing signs of meningococcal disease were transferred to hospital.

Treatment

Insufficient data

FEVE35

Infants aged < 3 months who presented to the ED with a fever (over 38 °C) had a CBE (with differential) and CRP performed.

Diagnostics

92.1 (77.5, 98.5)

FEVE36

Infants aged < 3 months who presented to the ED with a fever (over 38 °C) had blood cultures taken.

Diagnostics

96.4 (81.5, 99.9)

FEVE37

Infants aged < 3 months who presented to the ED with a fever (over 38 °C) had a urinalysis with culture performed.

Diagnostics

98.1 (86.4, 100)

FEVE38

Children with a fever (over 38 °C) who were toxic or unwell and had no focus of infection had a blood count (CBE) performed.

Diagnostics

75.2 (59.8, 87.0)

FEVE39

Children with a fever (over 38 °C) who were toxic or unwell and had no focus of infection had blood cultures taken at the same time as other blood tests.

Diagnostics

77.6 (61.8, 89.2)

FEVE40

Children aged 3 months to 3 years with a fever (over 38 °C) who showed signs of shock and had no clear source of infection had a venous blood gas taken.

Diagnostics

Insufficient data

FEVE41

Children aged 3 months to 3 years with a fever (over 38 °C) who showed signs of shock and had no clear source of infection had blood cultures taken.

Diagnostics

Insufficient data

FEVE42

Children aged 3 months to 3 years with a fever (over 38 °C) who showed signs of shock and had no clear source of infection had urine sample taken.

Diagnostics

Insufficient data

FEVE43

Children aged 3 months to 3 years with a fever (over 38 °C) who showed signs of shock and had no clear source of infection but with respiratory symptoms/signs had a chest x-ray taken.

Diagnostics

Insufficient data

FEVE44

Children aged 3 months to 3 years with a fever (over 38 °C) who showed signs of shock and had no clear source of infection were admitted to hospital for empiric IV antibiotics.

Treatment

Insufficient data

FEVE45

Children aged 3 months to 3 years with a fever (over 38 °C) who showed signs of shock and had no clear source of infection were admitted to hospital for fluid resuscitation.

Treatment

Insufficient data

FEVE46

Children with a fever (over 38 °C) where a UTI was suspected had a urine culture taken before commencing antibiotics.

Diagnostics

71.4 (36.7, 93.7)

FEVE47

Parents of children with a fever (over 38 °C) who were discharged received a fever fact sheet.

Treatment

30.6 (24.7, 37.0)