Practice Patterns of Pediatric Emergency Medicine Physicians Caring for Young Febrile Infants
- 29 June 2009
- journal article
- research article
- Published by SAGE Publications in Clinical Pediatrics
- Vol. 49 (4), 350-354
- https://doi.org/10.1177/0009922809339346
Abstract
The authors conducted a chart review of all febrile infants between 28 and 90 days of age who presented to the emergency department (ED) between December 1 and March 31 during 2004-2006. The objectives of the study were to describe the practice patterns of pediatric ED physicians caring for these infants and to determine whether the evaluation and management of these infants differed based on their age at presentation. Two groups were compared—infants aged 28 to 59 days (n = 79) and infants aged 60 to 90 days (n = 88). As compared with the younger age group, infants in the older age group had fewer complete blood cell counts (relative risk, RR = 3.57; 95% confidence interval [CI], 2.15-5.95), fewer blood cultures (RR = 3.38; 95% CI, 1.99-5.74), fewer urine cultures (RR = 3.83; 95% CI, 1.81-8.13), and fewer cerebrospinal fluid cultures (RR = 2.56; 95% CI, 1.94-3.40). Overall, there was poor adherence to current guidelines for the diagnostic evaluation of young febrile infants.Keywords
This publication has 21 references indexed in Scilit:
- Impact of Rapid Viral Testing for Influenza A and B Viruses on Management of Febrile Infants Without Signs of Focal InfectionThe Pediatric Infectious Disease Journal, 2006
- Effect of Point-of-care Influenza Testing on Management of Febrile ChildrenAcademic Emergency Medicine, 2006
- Does Clinical Presentation Explain Practice Variability in the Treatment of Febrile Infants?PEDIATRICS, 2006
- Urine Testing and Urinary Tract Infections in Febrile Infants Seen in Office SettingsArchives of Pediatrics & Adolescent Medicine, 2002
- Management of fever without source in infants and childrenAnnals of Emergency Medicine, 2000
- Commentary on Practice GuidelinesPEDIATRICS, 1997
- Outpatient Management without Antibiotics of Fever in Selected InfantsNew England Journal of Medicine, 1993
- Practice guideline for the management of infants and children 0 to 36 months of age with fever without sourceAnnals of Emergency Medicine, 1993
- The spectrum and frequency of illness presenting to a pediatric emergency departmentPediatric Emergency Care, 1991
- Identification of infants unlikely to have serious bacterial infection although hospitalized for suspected sepsisThe Journal of Pediatrics, 1985