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Return Visits in Infants Younger Than 90 Days Presenting to the Pediatric Emergency Department for Fever.
Rogachev, Sonia; Hashavya, Saar; Rekhtman, David; Schiesel, Gali; Benenson-Weinberg, Talia; Weiser, Giora; Gordon, Oren; Gross, Itai.
Afiliación
  • Rogachev S; Department of Pediatric Emergency Medicine, Hadassah Medical Center, Jerusalem, Israel.
  • Hashavya S; Department of Pediatric Emergency Medicine, Hadassah Medical Center, Jerusalem, Israel.
  • Rekhtman D; Department of Pediatric Emergency Medicine, Hadassah Medical Center, Jerusalem, Israel.
  • Schiesel G; Department of Pediatric Emergency Medicine, Hadassah Medical Center, Jerusalem, Israel.
  • Benenson-Weinberg T; Department of Pediatrics, Hadassah Medical Center, Jerusalem, Israel.
  • Weiser G; Department of Pediatric Emergency Medicine, Shaare Zedek Medical Center, Jerusalem, Israel.
  • Gordon O; Infectious Disease Unit, Department of Pediatrics, Faculty of Medicine, Hadassah Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel.
  • Gross I; Department of Pediatric Emergency Medicine, Hadassah Medical Center, Jerusalem, Israel.
Clin Pediatr (Phila) ; 63(11): 1559-1567, 2024 Nov.
Article en En | MEDLINE | ID: mdl-38415681
ABSTRACT
Fever in infants presenting to pediatric emergency departments (PEDs) often results in significant return visits (RVs). This retrospective study aimed to identify factors associated with RVs in febrile infants aged 0 to 90 days. Data from infants presenting to PED between 2018 and 2021 and returning within 7 days (RV group) were compared to age-matched febrile infants without RVs (control group). Each group had 95 infants with similar demographics and medical history. RVs were primarily due to positive cultures and persistent fever. The control group had higher initial hospitalization rates, longer PED stays, and increased antibiotic treatment. Prevalence of serious bacterial infections (SBIs) did not significantly differ. Higher hospitalization, prolonged PED stays, and initial antibiotic treatment were associated with reduced RV incidence despite similar SBI rates. Return visits in infants <90 days were primarily driven by persistent fever and positive cultures. Addressing these factors through targeted parental education and improved care protocols may reduce RVs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicio de Urgencia en Hospital / Fiebre Límite: Female / Humans / Infant / Male / Newborn Idioma: En Revista: Clin Pediatr (Phila) Año: 2024 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicio de Urgencia en Hospital / Fiebre Límite: Female / Humans / Infant / Male / Newborn Idioma: En Revista: Clin Pediatr (Phila) Año: 2024 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos