[Etiology of acute fever without source in infants consulting at an emergency department]. / Etiología del síndrome febril agudo sin foco en niños bajo 36 meses de edad que consultan a un servicio de urgencia.
Rev Chilena Infectol
; 24(1): 33-9, 2007 Feb.
Article
em Es
| MEDLINE
| ID: mdl-17369968
ABSTRACT
UNLABELLED Fever is a frequent symptom of consultation in Pediatric Emergency Department. OBJECTIVES:
to describe causes of acute fever of unknown origin (FUO) in infants under 36 months of age, the utility of requested tests and pediatrician decisions. PATIENTS ANDMETHODS:
309 cards of children under 36 months who consulted at Emergency Department for acute FUO were reviewed.RESULTS:
64 % were classified with well clinical condition. Most frequent causes were probable viral respiratory infections (72%), urinary tract infection (7.4%), pneumonia (2.9%), bacteremia (1.9%), and bacterial meningitis (1.3%). Streptococcus pneumoniae was the most frequent agent isolated from blood cultures. Tests of best utility were urine analysis and urine culture. Leukocytes count < 15.000/mm(3) and PCR < 4.0 mg/dl had a negative predictive value of 96 %. Nine point seven percent of the patients were hospitalized, while 14.2% received antibiotic treatment at home.CONCLUSIONS:
We suggest to perform urine analysis and culture as the initial study for children with acute FUO and well clinical condition.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecções Bacterianas
/
Febre de Causa Desconhecida
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child, preschool
/
Humans
/
Infant
/
Newborn
Idioma:
Es
Revista:
Rev Chilena Infectol
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Chile