What to know about acute infections in children

Written in association with: Dr Deborah Zeitlin
Published: | Updated: 16/01/2025
Edited by: Conor Lynch

Childhood acute infections are common, rapid-onset illnesses that affect children and usually present with sudden symptoms, such as fever, sore throat, vomiting, or diarrhoea. These infections are caused by bacteria, viruses, or fungi, and are especially common in young children due to their developing immune systems.

 

Acute infections can vary in severity, with some illnesses resolving within days while others may require medical intervention to prevent complications. Timely diagnosis and management are essential for a swift recovery and to prevent the spread of infections among children and adults.

Common childhood acute infections

Among the most frequent childhood acute infections are respiratory infections like the common cold, influenza, and strep throat. Respiratory syncytial virus (RSV) is another significant illness, particularly affecting young children and infants, which can lead to bronchiolitis or pneumonia in severe cases.

 

Gastrointestinal infections, such as rotavirus and norovirus, are also common and often lead to symptoms like diarrhoea, vomiting, and abdominal discomfort. In addition to causing discomfort, these infections can result in dehydration, particularly in very young children, which requires close monitoring and may necessitate rehydration therapy.

 

Prevention

Prevention plays a crucial role in managing the spread of childhood acute infections. Good hygiene practices, including frequent handwashing, using hand sanitizers, and covering coughs and sneezes, can significantly reduce the transmission of germs.

 

Vaccination is also one of the most effective tools for preventing serious infections such as influenza, measles, and whooping cough, which can lead to severe complications in children. For certain infections, such as the flu, annual vaccination is recommended due to the virus’s evolving nature.

 

When managing acute infections, early intervention is key to relieving symptoms and preventing complications. Parents are encouraged to seek medical advice if a child exhibits high fever, prolonged symptoms, difficulty breathing, or dehydration.

 

In some cases, antibiotics may be necessary for bacterial infections, while antiviral or antifungal medications might be needed for viral or fungal causes. Paediatricians may also recommend supportive care, such as rest, hydration, and over-the-counter medications to ease symptoms.

By Dr Deborah Zeitlin
Paediatrics

Dr Deborah Zeitlin is a leading Senior Consultant Paediatrician at Great Ormond Street Hospital, both in the NHS and the International and Private Care sectors, who specialises in general illnesses of childhood, complex care and child development alongside bed wetting, respiratory infections and newborn feeding. She sees patients from the UK and internationally, from birth to 18 years old. 

Dr Zeitlin takes a family-centred, holistic approach to assessing and managing children and young adults and has a specialist expertise in Complex Care Paediatrics. This includes children with rare or difficult to treat conditions; chronic conditions; or multiple conditions. Dr Zeitlin also provides tailored support for patients and families to navigate through the UK health system.

Dr Zeitlin graduated from Birmingham University Medical School (2001) with an additional degree in psychiatry. She trained in Adult Medicine before dedicating her career to Paediatrics where she trained at the Evelina Children's Hospital, Imperial College Healthcare NHS Trust and the Royal Brompton Hospital. Dr Zeitlin has a sub-speciality training and GMC dual accreditation in Paediatric Intensive Care Medicine.

Dr Zeitlin has been at Great Ormond Street Hospital for Children since 2018 as a Consultant General Paediatrician and, since 2020, she has held the additional role as the Named Doctor for Safeguarding.

In addition to her clinical work, Dr Zeitlin sits on the European Paediatric Life Support Committee and is a resuscitation instructor for children’s life support. She has written various publications (chapters, articles in peer-reviewed journals and various media publications) in the areas of child development, maternal-foetal bonding, paediatric resuscitation, Kaposi’s sarcoma in children (an HIV-related condition), childhood anaesthesia and depression.

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