Should Infants Presenting with an Apparent Life-Threatening Event Undergo Evaluation for Serious Bacterial Infections and Respiratory Pathogens?

被引:6
作者
Claudius, Ilene [1 ,2 ]
Mittal, Manoj K. [3 ]
Murray, Ryan [4 ]
Condie, Timothy [4 ]
Santillanes, Genevieve [1 ]
机构
[1] Univ So Calif, Keck Sch Med, Dept Emergency Med, LAC USC Med Ctr, Los Angeles, CA 90033 USA
[2] Univ So Calif, Keck Sch Med, Dept Pediat, LAC USC Med Ctr, Los Angeles, CA 90033 USA
[3] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Philadelphia, PA 19104 USA
[4] Univ So Calif, Keck Sch Med, Sch Med, Los Angeles, CA 90033 USA
关键词
ALTE; Apparent life-threatening event; CFU; Colony-forming unit; ED; Emergency department; Respiratory syncytial virus; RSV; Upper respiratory infection; URI; Urinary tract infection; UTI;
D O I
10.1016/j.jpeds.2013.12.027
中图分类号
R72 [儿科学];
学科分类号
100202 [儿科学];
摘要
We sought to identify which patients with an apparent life-threatening event require infectious evaluation through an analysis of infants aged <= 12 months brought to an emergency department with an apparent life-threatening event. Among the 533 children evaluated, there were no cases of meningitis, 1 case of bacteremia, 17 cases of urinary tract infection, 22 cases of bacterial pneumonia, 22 cases of respiratory syncytial virus, and 2 cases of influenza virus identified in respiratory specimens.
引用
收藏
页码:1231 / +
页数:4
相关论文
共 12 条
[1]
Infections and apparent life-threatening events [J].
Altman, Robin L. ;
Li, Karl I. ;
Brand, Donald A. .
CLINICAL PEDIATRICS, 2008, 47 (04) :372-378
[2]
Yield of diagnostic testing in infants who have had an apparent life-threatening event [J].
Brand, DA ;
Altman, RL ;
Purtill, K ;
Edwards, KS .
PEDIATRICS, 2005, 115 (04) :885-893
[3]
Respiratory syncytial virus infection in infants admitted to paediatric intensive care units in London, and in their families [J].
Crowcroft, N. S. ;
Zambon, M. ;
Harrison, T. G. ;
Mok, Q. ;
Heath, P. ;
Miller, E. .
EUROPEAN JOURNAL OF PEDIATRICS, 2008, 167 (04) :395-399
[4]
Apparent life threatening events in infants presenting to an emergency department [J].
Davies, F ;
Gupta, R .
EMERGENCY MEDICINE JOURNAL, 2002, 19 (01) :11-16
[5]
ED evaluation of infants after an apparent life-threatening event [J].
De Piero, AD ;
Teach, SJ ;
Chamberlain, JM .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2004, 22 (02) :83-86
[6]
Kaji A, 2013, ANN EM, V614, P379
[7]
Diagnosis and management of bronchiolitis [J].
Lieberthal, Allan S. ;
Bauchner, Howard ;
Hall, Caroline B. ;
Johnson, David W. ;
Kotagal, Uma ;
Light, Michael J. ;
Mason, Wilbert ;
Meissner, H. Cody ;
Phelan, Kieran J. ;
Zorc, Joseph J. ;
Brown, Mark A. ;
Clover, Richard D. ;
Nathanson, Ian T. ;
Korppi, Matti ;
Shiffman, Richard N. ;
Stanko-Lopp, Danette ;
Davidson, Caryn .
PEDIATRICS, 2006, 118 (04) :1774-1793
[8]
Causes of apparent life threatening events in infants: a systematic review [J].
McGovern, MC ;
Smith, MBH .
ARCHIVES OF DISEASE IN CHILDHOOD, 2004, 89 (11) :1043-1048
[9]
Serious Bacterial Infections in Infants Who Have Experienced an Apparent Life-Threatening Event [J].
Mittal, Manoj K. ;
Shofer, Frances S. ;
Baren, Jill M. .
ANNALS OF EMERGENCY MEDICINE, 2009, 54 (04) :523-527
[10]
National Institutes of Health Consensus Development Program, 1986, INF APN HOM MON