Completed Pregnancy, Children & Inherited Conditions Infection & Immunity

Syndromic infections

In plain English

AI plain-English summary

When a feverish, severely ill child arrives at a hospital in sub-Saharan Africa, doctors often cannot tell whether malaria, a bacterial infection, or something else is the cause—and that uncertainty kills. This matters because the same symptoms—fever, low haemoglobin—can stem from multiple diseases, yet each requires a different treatment. Without a clear diagnosis, children may receive the wrong drugs or no effective treatment at all. The problem is compounded for newborns and infants, whose antibiotic doses are based on historical practice rather than solid evidence, leading to wide variation in what they actually receive. If this research succeeds, it will produce evidence-based treatment guidelines for common syndromic infections in low-resource settings. That means hospitals could follow standard protocols proven to reduce deaths, rather than relying on guesswork. The work also aims to slow antimicrobial resistance by ensuring antibiotics are used only when necessary and at the correct doses—a benefit that extends beyond individual patients to the global drug supply. For the youngest infants, better dosing schedules could directly improve survival rates in the first month of life.

View original technical description
When children who are very unwell arrive at hospitals in Africa and other low-income countries, it is often hard to work out what is causing the illness. Malaria and other common infections in these settings can give the same symptoms. These symptoms may include fever or low levels of haemoglobin in the blood. It is often impossible to find out exactly what is making them sick. This is a big problem, as it makes it hard to know how best to treat them. In this programme we will design and run studies to work out the best ways to treat these children. We aim to reduce their chance of dying and make sure that guidelines recommend the best approaches. We will also design and run studies to work out the best ways of managing serious infections caused by bacteria more generally. In particular we want to reduce the threat posed by antimicrobial (drug) resistance. We will particularly look at infants (less than 30 days old) and children to work out the antibiotic doses they should be getting. The antibiotic doses children get vary hugely. This is because doses for children are mostly based on past practice, rather than evidence.

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Researchers

Ann Walker (Principal Investigator)Anna Goodman (Co-Investigator)Diana Gibb (Principal Investigator)Elizabeth George (Co-Investigator)Michelle N Clements (Co-Investigator)

Related Research

Grants with similar aims, by meaning.

Paediatric and adolescent infections
Risk stratified care to reduce antibiotic use and AMR transmission in African hospitals
Pharmocokinetics of azithromycin in severe malaria bacterial co-infection in African children
Environmental Aetiology of Diarrhoeagenic Pathogens in Children in a Developing Country Setting
Malaria exposure, emergency care and severe disease phenotypes in African children

Original classification

Intramural

Plain English summaries and category classifications on this site are generated by AI and may not perfectly reflect the original research.