OCCULT BACTEREMIA IN THE 3-MONTH-OLD TO 3-YEAR-OLD AGE GROUP

被引：12

作者：

HARPER, MB ^{[1
]}

FLEISHER, GR ^{[1
]}

机构：

[1] CHILDRENS HOSP MED CTR,DIV EMERGENCY MED,300 LONGWOOD AVE,BOSTON,MA 02115

来源：

PEDIATRIC ANNALS | 1993年 / 22卷 / 08期

关键词：

D O I：

10.3928/0090-4481-19930801-09

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Occult bacteremia precedes many serious infections in children. The vast majority of patients with occult bacteremia have an elevated temperature (> or = 39 degrees C), but fever is an extraordinarily common presenting complaint in the 3- to 36-month-old age group, which is at highest risk for S pneumoniae, H influenzae type b, and N meningitidis bacteremia. On examination, most patients with bacteremia will have no findings that distinguish them from nonbacteremic children. A white blood cell count of > 15,000/microL in a child with fever will identify about two thirds of children with occult bacteremia. Blood culture remains the most definitive test. It is important to establish a rational strategy to identify and treat these children before significant sequelae occur.

引用

页码：484 / &