Evaluation of the incidence of occult bacteremia among children with fever of unknown origin
Braz. j. infect. dis
;
10(6): 396-399, Dec. 2006. tab
Artículo
en Inglés
| LILACS, SES-SP
| ID: lil-446740
ABSTRACT
We reviewed the incidence of occult bacteremia, to identify the most frequent etiological agents of bacteremias in otherwise healthy children from one month to 10 years old, who had fever of unknown origin attended at the emergency ward of an urban, university-affiliated pediatric referral center. This was a retrospective medical record review, evaluating children with fever. Data were collected from the initial visit, when blood cultures, hematological properties and hemosedimentation rates were examined. Fever was considered as the highest temperature assessed in the hospital or reported by the responsible adult. Occult bacteremia was discovered in 1.4 percent of the 1,051 children evaluated, and the most common etiologic agent was Streptococcus pneumoniae. Total leukocyte count and blood sedimentation rates greater than 30 mm³ were not predictive factors for occult bacteremia. Fever greater than 39°C was the most important factor for predicting occult bacteremia (P<0.001). The presence of occult bacteremia was significantly correlated with patient hospitalization.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Bacteriemia
/
Fiebre de Origen Desconocido
Tipo de estudio:
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Niño
/
Child, preschool
/
Femenino
/
Humanos
/
Lactante
/
Masculino
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Braz. j. infect. dis
Año:
2006
Tipo del documento:
Artículo
Institución/País de afiliación:
Irmandade da Santa Casa de Misericória de São Paulo/BR
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