ReviewFrontiers in pediatrics2025
Elevated band count in the pediatric patient.
Review in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: In this review article we survey the literature for current evidence in pediatric practice regarding the use of elevated band count in the pediatric emergency room. In addition, we present data from the literature on the wide variability of manual band counts to reconsider its utility in clinical practice. Background: Bandemia is commonly seen during a state of infection. Band count is determined by manual cell count and can be prone to inaccuracy and imprecision. Despite its shortcomings, the 100-cell manual differential count remains the most practical method for assessing left shift. Methods: All the literature involving the use of elevated band count as a biomarker in pediatrics available on PubMed and Google Scholar was surveyed. "Bandemia", "Band count", "left shift" and "immature neutrophils" were used as primary search terms, in conjunction with the term "pediatrics." Results: The most recent AAP guidelines do not incorporate band count in decision making for febrile neonates. Elevated band count is related to worse outcomes in non-operative management of appendicitis. Elevated band count can be seen in viral illness alone. Even severe bandemia (<20%) does not correlate with severe illness. Discussion: More studies are needed to definitively dispel the notion of bandemia and its association with invasive bacterial infection. Additionally, pediatric providers may benefit from professional society guidelines advising appropriate management of the pediatric patient with elevated band count.
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