Fever in focus: Symptoms, diagnoses and treatment of febrile children in Ghana-A longitudinal hospital study.
Lydia Helen RautmanOumou Maïga-AscofaréDaniel EibachBenedikt HoganDenise DekkerAnna JaegerCharity Wiafe AkentenEllis Owusu-DaboFelix Osei BoatengHenry HansonKennedy Gyau BoahenNimako SarpongYaw Adu-SarkodieBenno KreuelsJürgen MayRalf KrumkampPublished in: Tropical medicine & international health : TM & IH (2023)
Suspected diagnoses were largely based on clinical presentation and were frequently changed; changed diagnoses were associated with lingering symptoms, underscoring the need for faster and more accurate diagnostics. Medications were over-prescribed regardless of diagnosis stability, possibly because of a lack of confidence in suspected diagnoses. Thus, better diagnostic tools are needed for childhood febrile illnesses to enhance the accuracy of and confidence in diagnoses, and to cut down unjustified medication use, reducing the risk of antimicrobial and malaria resistance.