Poole S R
Am Fam Physician. 1983 Apr;27(4):129-34.
Managing the infant who has fever without an obvious source can be difficult. The clinician should know how the infant's age, temperature, degree of toxicity and white blood cell count relate to the risk of occult bacterial disease, particularly bacteremia. In many instances, presumed bacteremia can be managed initially with outpatient blood culture and antibiotics. Close follow-up and early reexamination are necessary if blood cultures are positive.
处理无明显病因发热的婴儿可能具有挑战性。临床医生应了解婴儿的年龄、体温、中毒程度及白细胞计数如何与隐匿性细菌疾病(尤其是菌血症)的风险相关。在许多情况下,疑似菌血症最初可通过门诊血培养和抗生素进行处理。如果血培养结果呈阳性,则需要密切随访和早期复查。