Advice intended for parent/carers taking their child home after seeing a hospital based healthcare professional
Lymphadenitis is inflammation (swelling) of the lymph nodes (glands) caused by infection. The lymph nodes are an important part of the immune system and contain cells which help to fight infection. An inflamed lymph node may be painful. The skin overlying it may be red and warm to touch.
Lymphadenitis in children often occurs in the neck area because these lymph nodes are close to the ears and throat, which are frequent locations of infections in children.
A single enlarged, painful lymph node is likely to be caused by bacterial infection, which will need antibiotic treatment. If your child has multiple swollen lymph nodes, this is more suggestive of a viral infection which is unlikely to require antibiotics.
If your child has any of the following:
Go to the nearest Hospital Emergency (A&E) Department or phone 999
You need to contact a doctor or nurse today.
Please ring your GP surgery or call NHS 111 - dial 111
If symptoms persist for 4 hours or more and you have not been able to speak to either a member of staff from your GP practice or to NHS 111 staff, recheck that your child has not developed any red features
Continue providing your child’s care at home using the advice below. If you are still concerned about your child, speak to your health visitor, local pharmacist or call NHS 111– dial 111. Keep monitoring your child for red and amber features and seek help if they develop
Lymphadenitis usually responds well to antibiotics. Treatment with intravenous antibiotics (given into a vein) is usually only needed for more severe cases or those that have not responded to antibiotics given by mouth.
Some children who need intravenous antibiotics are admitted to hospital initially whilst others can be looked after at home. These children would come into hospital once a day for someone to look at them and for their antibiotics to be given.
The decision on when to change from intravenous to oral antibiotics (tablets or liquid) will be made by the medical team caring for your child. This will depend on how quickly your child responds to treatment (improvement in fever, pain and sometimes their blood tests) and whether your child has other health conditions. Antibiotics are usually given for a total of 7 days. You can give regular pain relief (Paracetamol or Ibuprofen) until any discomfort has improved.
Children usually recover from lymphadenitis within 3-4 days, when given antibiotics. If your child is not responding to the antibiotic given, then further investigations may be required. This can be due to several reasons;
Most children recover without any complications. However, if you are concerned that your child's condition is getting worse (see table above), you should contact your discharging ward.
Call 999 for an ambulance if you have serious concerns for your child.
It is not possible to prevent lymphadenitis, however, prompt review by a doctor and appropriate treatment can speed up recovery. It is important that your child completes their course of antibiotics, to prevent it from recurring.
