ArticlePediatrics2018
Risk Stratification of Febrile Infants ≤60 Days Old Without Routine Lumbar Puncture.
Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Invasive and urinary tract infections in febrile neonates in the emergency department: a retrospective analysis.European journal of pediatrics · 2025Article
- Scoping review of clinical decision aids in the assessment and management of febrile infants under 90 days of age.BMC pediatrics · 2025Article
- Article
- Serious Bacterial Infections in Preterm Infants: Should Their Age Be "Corrected"?Journal of clinical medicine · 2023Article
- Adding heart rate n-variability (HRnV) to clinical assessment potentially improves prediction of serious bacterial infections in young febrile infants at the emergency department: a prospective observational study.Annals of translational medicine · 2023Article
- Risk-stratification in febrile infants 29 to 60 days old: a cost-effectiveness analysis.BMC pediatrics · 2022Article
- Prevalence of Invasive Bacterial Infections in Well-Appearing, Febrile Infants.Hospital pediatrics · 2021Article
- Clinical Progress Note: Procalcitonin in the Identification of Invasive Bacterial Infections in Febrile Young Infants.Journal of hospital medicine · 2021Article
- Characteristics of Afebrile Infants ≤60 Days of Age With Invasive Bacterial Infections.Hospital pediatrics · 2021Article
- Development of an App to Facilitate Communication and Shared Decision-making With Parents of Febrile Infants ≤ 60 Days Old.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Article
- Comparing febrile children presenting on and off antibiotics to the emergency department: a retrospective cohort study.BMC pediatrics · 2020Article
- A Prediction Model to Identify Febrile Infants ≤60 Days at Low Risk of Invasive Bacterial Infection.Pediatrics · 2019Article
- 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
- Analgesia for lumbar puncture in infants and children.Canadian family physician Medecin de famille canadien · 2019Article
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17 authors.
Funding
Abstract
: media-1vid110.1542/5840460609001PEDS-VA_2018-1879
methodsWe performed a case-control study of febrile infants ≤60 days old presenting to 1 of 9 emergency departments from 2011 to 2016. For each infant with IBI (defined as a blood [bacteremia] and/or CSF [bacterial meningitis] culture with growth of a pathogen), controls without IBI were matched by site and date of visit. Infants were excluded if they appeared ill or had a complex chronic condition or if data for any component of the Rochester or modified Philadelphia criteria were missing.
resultsOverall, 135 infants with IBI (118 [87.4%] with bacteremia without meningitis and 17 [12.6%] with bacterial meningitis) and 249 controls were included. The sensitivity of the modified Philadelphia criteria was higher than that of the Rochester criteria (91.9% vs 81.5%;
conclusionsThe modified Philadelphia criteria had high sensitivity for IBI without routine CSF testing, and all infants >28 days old with bacterial meningitis were classified as high risk. Because some infants with bacteremia were classified as low risk, infants discharged from the emergency department without CSF testing require close follow-up.
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