Emergency Department and Inpatient Clinical Pathway for Evaluation/Treatment of Children with Kawasaki Disease or Incomplete Kawasaki Disease

<a href="#">Patient with concern for Kawasaki Disease</a>

Team Assessment<a href="#">History and Physical, Clinical Criteria</a> Assess for presence of clinical criteria at any time during current febrile illness<a href="#">Laboratory Testing</a> Lab testing if H&amp;P consistent with complete or incomplete KD Consider lab testing if 3 days of fever and strong clinical suspicion for KD

<a href="#">Incomplete Kawasaki Disease</a>

Admit Evaluation as indicated Consider treatment

Initial Treatment Initial treatment for KD includes IVIG, ASA (high or low dose), +/- Steroids

Fever ≥ 5 days and ≥ 4 principal clinical features or Fever ≥ 4 days and 5 principal clinical features

Use Incomplete Kawasaki Disease Algorithm to determine need for further evaluation and treatment

Evaluate as clinically indicated Consider pitfalls in KD diagnosis Admit/discharge as clinically indicated