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Outcomes of Infants Who Are Febrile Aged 29-90 Days Discharged from the Emergency Department.
Curelaru, Shiri; Samuel, Nir; Chayen, Gilad; Jacob, Ron.
Afiliação
  • Curelaru S; Pediatric Department, Ha'Emek Medical Center, Afula, Israel.
  • Samuel N; Emergency Department, Schneider Children's Medical Center, Petakh Tikva, Israel; Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Chayen G; Pediatric Emergency Department, Ha'Emek Medical Center, Afula, Israel.
  • Jacob R; Pediatric Emergency Department, Ha'Emek Medical Center, Afula, Israel; Rappaport Faculty of Medicine, Technion-Institute of Technology, Haifa, Israel. Electronic address: ron_ja@clalit.org.il.
J Pediatr ; 263: 113714, 2023 Dec.
Article em En | MEDLINE | ID: mdl-37659589
OBJECTIVE: To evaluate the characteristics and outcomes of infants aged 29-90 days who are febrile discharged from the pediatric emergency department (ED). STUDY DESIGN: This was a multicenter, retrospective cohort study of infants aged 29-90 days who visited any of the 7 Clalit Health Services pediatric EDs in Israel between January 1, 2019, and March 31, 2022. Infants who were febrile discharged from the ED after having blood and urine cultures taken were included. The primary outcome measure was the incidence of return visit (RV) to an ED. Secondary outcome measures were the incidence of invasive bacterial infection, urinary tract infection, pediatric intensive care unit admissions, and deaths. We assessed variables associated with the primary outcomes. RESULTS: A total of 1647 infants were included. Their median (IQR) age at ED visit was 58.5 (47.7, 72.7) days, 53.1% were male. A total of 329 patients (20%) returned to the ED within 120 hours. Overall, 7.8% of discharged infants had a positive urine culture, 4 (0.2%) had a positive blood culture, and none had meningitis. One patient was admitted to the pediatric intensive care unit, and there was no death. Abnormal C-reactive protein was associated with RV among 61- to 90-day-old infants. CONCLUSIONS: Infants aged 29-90 days who were febrile and discharged following a protocol-driven pathway from the pediatric ED had a relatively high RV rate. However, the rate of urinary tract infection was relatively low, and rate of invasive bacterial infection was extremely low. There were no deaths or serious sequelae.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções Bacterianas / Infecções Urinárias Tipo de estudo: Clinical_trials / Observational_studies / Risk_factors_studies Limite: Female / Humans / Infant / Male Idioma: En Revista: J Pediatr Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Israel País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções Bacterianas / Infecções Urinárias Tipo de estudo: Clinical_trials / Observational_studies / Risk_factors_studies Limite: Female / Humans / Infant / Male Idioma: En Revista: J Pediatr Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Israel País de publicação: Estados Unidos