Unpredictability of Serious Bacterial Illness in Febrile Infants From Birth to 1 Month of Age

Article Abstract:

The Philadelphia treatment protocol for suspected serious bacterial infections in children may not adequately identify infants 1-month-old or younger who do not require antibiotic therapy. The Philadelphia protocol applies a standard series of tests to diagnose fever in children, and is based on the practice at Children's Hospital of Philadelphia, PA. Researchers examined 254 infants with fever and found that 13% had a serious bacterial infection. Although the causes of fever were similar in 1-month-olds and children aged 1-2 months, the protocol predicted that 43% of the 1-month-olds were at low risk for serious bacterial infection. The protocol is not sensitive enough when applied to infants under 1 month of age.

Fever in children, Childhood fever

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Diagnostic Testing for Serious Bacterial Infections in Infants Aged 90 Days or Younger With Bronchiolitis

Article Abstract:

Meningitis, blood-borne bacterial infection, and meningitis are uncommon in children under three months of age with bronchiolitis, a viral infection of the upper airways. Researchers evaluated 211 young infants with bronchiolitis. Laboratory tests, such as urinalysis, blood cultures, and blood cell counts, were ordered in 48% of children, and in 78% of children with fever. Laboratory was more common when children had a fever, low oxygen saturation in the blood, and periods of interrupted breathing.

Infection, Causes of, Pediatric diseases, Infection in children, Bronchitis in children

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