La Bacteriemia Oculta, Per Se, No Es Una Forma De Enfermedad Invasora Sociedad Española de Urgencias de Pediatría. prevent meningitis and serious bacterial infections in children with Streptococcus pneumoniae occult bacteremia ?. Exactitud del test de procalcitonina en el diagnóstico de bacteriemia oculta en Accuracy of the procalcitonin test in the diagnosis of occult bacteremia in. de Carvalho, Werther Brunow3,5; Source: Jornal de Pediatria; Document Type: Article; Keywords: Algorithms Bacteremia Children Fever Algoritmos Crianças.
|Published (Last):||24 October 2004|
|PDF File Size:||10.96 Mb|
|ePub File Size:||2.30 Mb|
|Price:||Free* [*Free Regsitration Required]|
Are you a health professional able to prescribe or dispense drugs? The authors declare no conflicts of interest. Ann Emerg Med, 36pp. Introduction Fever without source FWS is one of gacteremia major diagnostic challenges for the emergency service pediatrician. Emergency department laboratory evaluations of fever without source in children aged 3 to 36 months.
Proportion of invasive pneumococcal infections in German children preventable by pneumococcal conjugate vaccines. You can change the settings or obtain more information by clicking here. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. Objectives Ocutla summarize the main clinical entities bactedemia with fever without source FWS in infants, as well as the clinical management of children with occult bacteremia, emphasizing laboratory tests and empirical antibiotics.
Suprapubic aspiration should be reserved for exceptional cases, and has been less and less used in clinical practice. Annals of Pediatrics is the Body of Scientific Expression of the Association and is the vehicle through which members communicate.
Pediatr Emerg Care, 28pp. Occult bacteremia from a pediatric emergency department: A blood culture sample is often requested peddiatria febrile infants with suspected OB. Reevaluation of outpatients with Streptococcus pneumoniae bacteremia. Rev Clin Esp,pp.
Pediatr Emerg Care, 29pp. Pediatr Infect Dis J, 27pp.
Jornal de Pediatria
Gateways Organizations Descriptors and keywords Publications and periodicals. Crit Care Med, 20pp.
pculta The evaluation of febrile infants is even more of a concern considering the relative immaturity of the immune system in the first 3 months of life. Clin Pediatr Emerg Med, 9pp. You can change the settings or obtain more information by clicking here. Print Send to a friend Export reference Mendeley Statistics. Acta Pediatr,pp. BMJ,pp. The recently described Lab-score uses independently associated parameters with the occurrence of SBIs, with different weights according to the odds ratio obtained for each variable in the univariate analysis of the original study.
Some known algorithms, such as Boston and Rochester, can guide the initial risk stratification for occult bacteremia in febrile infants younger than 3 months.
This finding may have particular importance in febrile peidatria infants, as they are more likely to develop SBI and are usually taken to the emergency room after just a few hours of fever. The prevalence of SBI was between SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
Fever remains an important cause of consultation in emergency services in children up to 3 years old, and the request of multiple laboratory tests for initial assessment is still frequent, as well as antibiotic therapy, even in children at no risk for OB and with no presumed bacterial infection.
Viral infections are common causes of FWS in infants, and many patients are treated with antibiotics in this situation, despite the lack of evidence for bacterial infections. There is no single algorithm to estimate the risk of occult bacteremia in febrile infants, but pediatricians should strongly pedixtria outpatient management in fully vaccinated infants older than 3 months with FWS and good general status.
EBSCOhost | | Manejo atual da bacteremia oculta do lactente.
The overall senstivity was 0. Is culture-positive urinary tract infection in febrile children accurately identified by urine dipstick or microanalysis?. J Infect Dis,pp. Serum procalcitonin for prediction of renal parenchymal involvement in children pediateia urinary tract infections: A recent retrospective cohort study 12 evaluated episodes of pneumococcal OB in infants with a median age of It is a consensus that the likelihood of occult bacteremia and SBI decreased sharply after the introduction of the conjugate vaccine in the immunization schedule.
An Esp Pediatr, 55pp. An Esp Pediatr, 54pp. We cannot extrapolate these results to other types of patients. Subscribe to our Newsletter.