Fever survey highlights significant variations in how infants aged ≤60 days are evaluated and underline the need for guidelines.
Acta Paediatr
; 103(4): 379-85, 2014 Apr.
Article
em En
| MEDLINE
| ID: mdl-24446962
ABSTRACT
AIM:
To assess the common practices for evaluating and treating febrile infants aged ≤60 days in a nationwide survey.METHODS:
Questionnaires were administrated to inpatient paediatric departments in all 25 hospitals in Israel.RESULTS:
Of the 25 centres surveyed (100% response rate), only 36% had written protocols concerning the approach to young febrile infants. The existence of a written protocol was significantly associated with the level of medical centre (tertiary versus primary and secondary, p = 0.041) and with the number of local paediatric infectious disease specialists (p = 0.034). In 13 (52%) hospitals, a normal white blood cell count was defined as 5000-15 000 cells/mL and 20 (80%) centres use C-reactive protein. Hospitalisation was mandatory in most (96%) centres for all neonates aged ≤28 days. Low-risk infants aged 29-60 days were hospitalised in 68.4% of the primary and secondary hospitals, compared with 33.3% tertiary centres. Ampicillin and gentamicin was the routine empiric antibiotic treatment for febrile infant in 92% of centres.CONCLUSION:
Significant differences exist among centres in the evaluation of febrile infants aged ≤60 days exist. These differences reflect the lack of, and highlight the need for, national or international guidelines for the evaluation of fever in this age group.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Padrões de Prática Médica
/
Guias de Prática Clínica como Assunto
/
Febre
/
Necessidades e Demandas de Serviços de Saúde
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Guideline
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Humans
/
Infant
Idioma:
En
Revista:
Acta Paediatr
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Israel