Pediatric Emergency Department, Biocruces Bizkaia Health Research Institute, Hospital Universitario Cruces, University of the Basque Country, UPV/EHU, Bilbao, Basque Country, Spain.
Pediatr Infect Dis J. 2020 Dec;39(12):e462-e464. doi: 10.1097/INF.0000000000002891.
We carried out a prospective multicenter study including 203 previously healthy well-appearing children who were 3-24 months old with fever without a source ≥40.5°C. Thirty-one (15.3%, 95% confidence interval 11.0-20.9) were diagnosed with serious bacterial infection, including 6 with bacteremia (3%, 95% confidence interval 1.4-6.3). Testing for occult bacteremia in children 3-24 months old with fever without a source should be considered when fever at ≥40.5°C.
我们进行了一项前瞻性多中心研究,纳入了 203 名之前健康、外观良好的发热患儿(发热无明确病因且体温≥40.5°C),他们的年龄为 3-24 个月。31 名(15.3%,95%置信区间 11.0-20.9)被诊断为严重细菌感染,包括 6 名菌血症(3%,95%置信区间 1.4-6.3)。对于发热无明确病因且体温≥40.5°C 的 3-24 个月龄患儿,应考虑检测隐匿性菌血症。