Testing for Meningitis in Febrile Well-Appearing Young Infants With a Positive Urinalysis
نویسندگان
چکیده
منابع مشابه
Diagnostic value of procalcitonin in well-appearing young febrile infants.
BACKGROUND AND OBJECTIVE Procalcitonin (PCT) has been introduced in many European protocols for the management of febrile children. Its value among young, well-appearing infants, however, is not completely defined. Our objective was to assess its performance in diagnosing serious bacterial infections and specifically invasive bacterial infections (IBIs) in well-appearing infants aged <3 months ...
متن کاملWell appearing young infants with fever without known source in the emergency department: are lumbar punctures always necessary?
We included 685 consecutive previously healthy well appearing infants younger than 3 months with fever without known source admitted to an Emergency Department without routinely performing lumbar punctures (LP). LP was performed in 198 infants. Of these, 36 (18.1%) showed pleocytosis. Two infants less than 15 days were diagnosed with bacterial meningitis and 47 with aseptic meningitis (6.8%). L...
متن کاملAutomated urinalysis and urine dipstick in the emergency evaluation of young febrile children.
OBJECTIVE The performance of automated flow cytometric urinalysis is not well described in pediatric urinary tract infection. We sought to determine the diagnostic performance of automated cell counts and emergency department point-of-care (POC) dipstick urinalyses in the evaluation of young febrile children. METHODS We prospectively identified a convenience sample of febrile pediatric emerge...
متن کاملAcute meningitis among infants and toddlers with febrile seizures: time for a reappraisal of the value of a lumbar puncture.
BACKGROUND Since clinical signs of meningeal irritation in infants may be absent or misleading, the American Academy of Pediatrics in 1996 recommended that a lumbar puncture be performed in young children following a febrile seizure. Recent evidence supports a conservative approach in children who do not look ill at the time of the physician's assessment. Moreover, seizures as the presenting or...
متن کاملRisk Factors for Serious Bacterial Infection in Febrile Young Infants in a Community Referral Hospital
Differentiation of serious bacterial infection (SBI) from self-limiting viral illness in febrile infants younger than three months is a significant challenge for clinicians. We aimed to assess the risk factors for SBI in febrile infants. Data were obtained from 221 infants younger than three months who visited a single community referral hospital for fever and underwent a complete sepsis workup...
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ژورنال
عنوان ژورنال: Pediatrics
سال: 2019
ISSN: 0031-4005,1098-4275
DOI: 10.1542/peds.2018-3979