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To determine the feasibility of having caregivers assist in recognition of clinical deterioration in children hospitalized with febrile illness in a resource-limited setting. Single-center, prospective, interventional pilot study. General pediatric wards at Kenyatta National Hospital, Nairobi, Kenya's largest public tertiary-care hospital. Children hospitalized with acute febrile illness, accompanied by caregivers available at the bedside for 24 hours soon after hospital admission. Caregivers were trained to recogniz