Table 4.

Alarm features among febrile children with a referral indication according to national guidance12

Referred (n = 633)Not referred (n = 2791)
Total number of alarm features presentan (%)n (%)
1264 (42)2456 (88)
2214 (34)304 (11)
3118 (19)29 (1.0)
433 (5.2)2 (<0.1)
54 (0.6)0 (0)
n (%)n (%)
Age <1 month25 (4.0)7 (0.3)
Age 1–3 months74 (12)98 (3.5)
Ill appearance255 (40)463 (17)
Decreased consciousness53 (8.4)4 (0.1)
Abnormal circulation205 (32)431 (15)
Vomiting231 (37)1842 (66)
Petechial rash15 (2.4)19 (0.7)
Meningeal irritation49 (7.8)6 (0.2)
Severe shortness of breath213 (34)270 (9.7)
Signs of dehydration78 (12)18 (0.6)
  • a Alarm features according to the national guideline: age <1 month, age 1–3 months with fever of unknown origin, ill appearance, decreased consciousness, abnormal circulation, persistent vomiting, petechial rash, meningeal irritation, severe shortness of breath, and signs of dehydration.