Letters “Traffic light” clinical decision tool

A frontline triage system across different health settings

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f2313 (Published 16 April 2013) Cite this as: BMJ 2013;346:f2313
  1. Jan Y Verbakel, general practitioner1,
  2. Frank Buntinx, senior full professor, research director12,
  3. Matthew Thompson, clinical reader3
  1. 1Department of General Practice, KU Leuven, 3000 Leuven, Belgium
  2. 2Research Institute Caphri, Maastricht University, Maastricht, Netherlands
  3. 3Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
  1. Jan.Verbakel{at}med.kuleuven.be

De and colleagues present the validation results of the National Institute for Health and Care Excellence (NICE) “traffic light” system to detect serious bacterial infections in young children with fever.1 Such research is welcome, because timely recognition of the small number of children with serious bacterial infections among the majority with self limiting infections is difficult and consumes considerable frontline healthcare resources.2

We recently examined the diagnostic accuracy of several clinical prediction rules, including the NICE traffic light system with any amber or red feature present, …

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