ArticleThe Journal of pediatrics2017
Lumbar Puncture for All Febrile Infants 29-56 Days Old: A Retrospective Cohort Reassessment Study.
Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of Bacterial Meningitis Among Febrile Infants Aged 29-60 Days With Positive Urinalysis Results: A Systematic Review and Meta-analysis.JAMA network open · 2021Pooled it
- Sentinel Injuries in Emergency Departments and Subsequent Serious Injury in Children.Annals of emergency medicine · 2026Article
- Prevalence of invasive bacterial infection among febrile infants with positive urinalysis results: a planned secondary analysis of the Febrile Infants Diagnostic assessment and Outcome (FIDO) prospective observational cohort study.Archives of disease in childhood · 2025Observational
- Development of a machine learning-based prediction model for serious bacterial infections in febrile young infants.BMJ paediatrics open · 2025Article
- Enhancing Care of Young Febrile Infants in Hawai'i: A Quality Improvement Initiative to Reduce Unnecessary Hospitalizations and Procedures.Hawai'i journal of health & social welfare · 2025Article
- Clinical characteristics and outcomes in febrile infants aged 29-90 days with urinary tract infections and cerebrospinal fluid pleocytosis.Frontiers in pediatrics · 2023Article
- Clinical management and outcomes for febrile infants 29-60 days evaluated in community emergency departments.Journal of the American College of Emergency Physicians open · 2022Article
- Overuse of medical care in paediatrics: A survey from five countries in the European Academy of Pediatrics.Frontiers in pediatrics · 2022Article
- Cost Analysis of Emergency Department Criteria for Evaluation of Febrile Infants Ages 29 to 90 Days.The Journal of pediatrics · 2021Article
- Febrile Infants ≤60 Days Old With Positive Urinalysis Results and Invasive Bacterial Infections.Hospital pediatrics · 2020Article
- Physicians' and Nurses' Perspectives on the Decision to Perform Lumbar Punctures on Febrile Infants ≤8 Weeks Old.Hospital pediatrics · 2019Article
- A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections.JAMA pediatrics · 2019Observational
- Risk Stratification of Febrile Infants ≤60 Days Old Without Routine Lumbar Puncture.Pediatrics · 2018Article
- Development and implementation of a mobile device-based pediatric electronic decision support tool as part of a national practice standardization project.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- To Spinal Tap or Not To Spinal Tap, That Is the Question.Hospital pediatrics · 2018Article
- Approach to Neonates and Young Infants with Fever without a Source Who Are at Risk for Severe Bacterial Infection.Mediators of inflammation · 2018Review
Corrections and comments
- Commented on by
- Commented on byReply.2018
Authors and funding
4 authors.
Funding
Abstract
objectivesTo determine the incidence of bacterial meningitis (BM) among all febrile infants 29-56 days old undergoing a lumbar puncture (LP) in the emergency department of a tertiary care children's hospital and the number of low-risk febrile infants with BM to reassess the need for routine LP in these infants. STUDY
designRetrospective cohort study using a quality improvement registry from July 2007-April 2014. Infants included were 29-56 days old with fever and who had an LP in the emergency department. Low-risk criteria were adapted from the Philadelphia criteria. BM was defined as having a bacterial pathogen isolated from the cerebrospinal fluid. A medical record review of one-third of randomly selected patients in the cohort determined the proportion who met low-risk criteria.
resultsOne of 1188 febrile infants (0.08%) had BM; this patient did not meet low-risk criteria. An additional 40 (3.4%) had positive cerebrospinal fluid cultures; all were contaminants. Subanalysis of one-third of the study population revealed that 45.6% met low-risk criteria; the most common reasons for failing low-risk classification included abnormal white blood cell count or urinalysis.
conclusionsIn a cohort of febrile infants, BM is uncommon and no cases of BM would have been missed had LPs not been performed in those meeting low-risk criteria.
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