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Table 4 Children referred to hospital with normal CRP level < 5 mg/L (n = 24)

From: Should all acutely ill children in primary care be tested with point-of-care CRP: a cluster randomised trial

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Reason for referral to hospital

Additional tests ordered by GP

Highest temperature (°C)

Clinician concern (GP)

Admitted to hospital

Final discharge diagnosis

1

Rule out pneumonia

Chest X-ray; urine culture

40.2

Yes

No

Viral URTI

2

Rule out meningitis

Urine culture

38.2

Yes

No

Viral URTI

3

Rule out meningitis

Urine culture

39.7

Yes

No

Viral URTI

4

Rule out ketoacidosis

Glycaemia fingerstick

35.9

Yes

Yes

Viral URTI

5

Rule out pneumonia

Urine culture

40.5

Yes

No

Viral URTI

6

Rule out UTI

None

40

Yes

No

Viral URTI

7

Might need intensive aerosol treatment

Urine culture

39.6

Yes

No

Viral URTI

8

Rule out pneumonia

FBC; chest X-ray

38.5

Yes

No

Viral URTI

9

Recurring otitis media

Urine culture

37.5

Yes

No

Viral URTI

10

Rule out pneumonia

Urine culture

38

Yes

No

Viral URTI

11

Not resolving 3 days after start antibiotics

Urine culture

38.8

Yes

No

Viral URTI

12

Rule out pneumonia

FBC; ultrasound

No

No

Viral URTI

13

Recurring otitis media

none

36.8

No

No

Viral URTI

14

Rule out UTI

Urine culture

38.4

Yes

No

UTI

15

Rule out UTI

Urine culture

40.5

Yes

No

UTI

16

Rule out UTI

Urine culture

36.1

No

No

UTI

17

Rule out UTI

Urine culture

36.6

Yes

No

Viral gastroenteritis

18

Grunting

Chest X-ray; ultrasound

37.1

Yes

No

Viral gastroenteritis

19

Rule out bacterial gastroenteritis

Stool culture

Yes

Yes

Viral gastroenteritis

20

Rule out appendicitis

None

37.6

Yes

No

Viral gastroenteritis

21

Rule out appendicitis

None

35.6

No

No

Viral gastroenteritis

22

Rule out appendicitis

Ultrasound; stool culture

No

No

Viral gastroenteritis

23

Rule out parasites

FBC; urine culture

37.0

No

No

Viral gastroenteritis

24

Rule out appendicitis

Ultrasound

36.4

No

No

Viral gastroenteritis

  1. CRP point-of-care CRP testing, GP general practitioner, URTI upper respiratory tract infection, UTI urinary tract infection, FBC full blood count