The Children’s Hospital is a tertiary level university teaching hospital with about 220 beds. The composition of the clinical staff is typical of many emergency departments. The triage staff are experienced paediatric emergency nurses, with the physicians comprising permanent senior staff and 30 40 rotating junior staff at registrar and resident level.Febrile illness was defined as any illness with one or more of the following elements: a measured axillary temperature of 38.0C; parental report of a temperature of 38.0C measured at home within the previous 24 hours; a parental report that the child “felt hot” in the previous 24 hours; or a presenting problem related to fever (10th revision of the international classification of diseases, Australian modification codes R50, R50.0, R50.1, R50.9, and R56.0), as determined by a triage nurse.Children were excluded if they had been transferred to The Children’s Hospital from another hospital.
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