Fever in Returning Traveller Assessment
Stratifies risk and guides urgent investigation in febrile returning travellers. Malaria must be excluded in all cases.
Score interpretation
→ FBC, malaria blood film x3 (even if prophylaxis taken), LFTs, urine dip; common diagnoses: viral illness, UTI, enteric fever; safety net to return if deteriorates
→ Same-day malaria film + RDT; FBC, CMP, LFTs, blood cultures; HIV test; typhoid serology; dengue NS1/IgM; ID team review; admit if uncertain diagnosis
→ Immediate thick and thin blood film + RDT; IV access; resuscitation if shocked; empirical IV artesunate if high malaria suspicion and severely unwell; ID team immediately; consider VHF (Ebola, Lassa) if haemorrhage + HDE; isolate if VHF suspected
Interpretation bands for the Returning Traveller Fever. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Prednisolone (Oral — General Medicine) · Oral Corticosteroid
- Benzathine Benzylpenicillin · Long-Acting Penicillin — Syphilis / Rheumatic Fever Prophylaxis
- Atovaquone · Antiparasitic / Antifungal — PCP Prophylaxis / Treatment / Malaria
- Hydroxychloroquine · Aminoquinoline — Malaria Prophylaxis / SLE / Rheumatoid Arthritis
- Quinine · Antimalarial — Severe / Complicated Malaria (IV) / Nocturnal Cramps (Oral)
- Typhoid vaccine (inactivated) · Inactivated polysaccharide typhoid vaccine
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.