A score identifying serious bacterial infections in children with fever without source.
Pediatr Infect Dis J
; 27(7): 654-6, 2008 Jul.
Article
em En
| MEDLINE
| ID: mdl-18536624
ABSTRACT
The objective of the study was to develop a simple clinical tool to identify serious bacterial infection (SBI) in children with fever without a source. For each child, a clinical assessment, a white blood cell count, a urine analysis, a determination of C-reactive protein, procalcitonin, and appropriate cultures were performed. Two hundred two children were studied of whom 54 (27%) had SBI. In the multivariate analysis, only procalcitonin [odds ratio (OR) 37.6], C-reactive protein (OR 7.8), and urine dipstick (OR 23.2) remained significantly associated with SBI. The sensitivity of the score for the identification of SBI was 94% and the specificity 81%. In the validation set the sensitivity of the score was 94% and the specificity 78%.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Infecções Bacterianas
/
Febre de Causa Desconhecida
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article