Kawasaki Disease

Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by a methodical review of available evidence and consensus among committee members.  

Clinical Pathway: 

• Kawasaki Disease algorithm- includes: 
  • Kawasaki Disease Diagnosis algorithm
  • Kawasaki Disease Treatment algorithm 
• Kawasaki Disease synopsis – provides care standards employed for this clinical pathway  

Additional tools associated with this Clinical/ERAS Pathway:

• Kawasaki Disease Discharge Information for Parents/Caregivers (available in English and Spanish)

 Inclusion and exclusion criteria: 

• Inclusion:
  •  Patients with concern for Kawasaki Disease 

• Exclusion:  
  • Patients with fever less than 3 days 

 Committee members involved in the development: 

• Bianca Cherestal, MD | Heart Center | Committee Co-Chair
• Jennifer Schuster, MD, MSCI | Infectious Diseases | Committee Co-Chair 
• Ashton Bellamy, PharmD, BCIDP | Pharmacy | Committee Member 
• Siân Best, MD, MPH | Hospital Medicine | Committee Member 
• Rasika Bhamre, MBBS | Pediatric Emergency Medicine Fellow | Committee Member
• Julia Harris, MD | Rheumatology | Committee Member 
• Kyle Langford, MD | Pediatric Fellow | Committee Member 
• Jenny Leath, MSN, APRN, CPNP-AC | Heart Center | Committee Member
• Lauren Littell, MD | Pediatric Cardiology Advanced Imaging Fellow | Committee Member
• Brandi Missel, APRN | Emergency Department | Committee Member
• Erin Scott, DO | Emergency Department | Committee Member 
• John Shook, MD | Med/Peds Resident | Committee Member 

Patient/Family Committee Members: 

• Hayley Finch | Committee Member 
• Kallie Kirk | Committee Member 

EBP Committee Members: 

• Kathleen Berg, MD, FAAP | Evidence Based Practice 
• Megan Gripka, MPH, MLS (ASCP) SM | Evidence Based Practice 

 Publication dates: 

• Finalized date: 02/2026
• Next expected revision date: 02/2029 

Concerns with content: 

If you have any questions regarding this content or identify a broken link, please email evidencebasedpractice@cmh.edu.  

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.