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儿童无定位体征的发热。隐匿性菌血症的检测与管理。

Fever without localizing signs in children. Detection and management of occult bacteremia.

作者信息

Lorin M I

出版信息

Postgrad Med. 1983 May;73(5):295-300. doi: 10.1080/00325481.1983.11697846.

DOI:10.1080/00325481.1983.11697846
PMID:6844175
Abstract

Occult bacteremia should be of major concern in the child with fever without localizing signs. A number of clinical features and laboratory findings correlate with the risk of bacteremia in such children, and their recognition permits the identification of a group of children at high risk. Treatment of such children with antibiotics on an ambulatory basis appears to significantly lessen the incidence of persistent bacteremia, subsequent meningitis, and other serious localized bacterial infections.

摘要

隐匿性菌血症应引起无局部定位体征发热儿童的高度关注。一些临床特征和实验室检查结果与这类儿童发生菌血症的风险相关,识别这些特征有助于确定高危儿童群体。对这类儿童在门诊给予抗生素治疗似乎能显著降低持续性菌血症、随后发生的脑膜炎及其他严重局部细菌感染的发生率。

相似文献

1
Fever without localizing signs in children. Detection and management of occult bacteremia.儿童无定位体征的发热。隐匿性菌血症的检测与管理。
Postgrad Med. 1983 May;73(5):295-300. doi: 10.1080/00325481.1983.11697846.
2
Perspectives on occult bacteremia in children.儿童隐匿性菌血症的观点。
J Pediatr. 1986 Jul;109(1):1-8. doi: 10.1016/s0022-3476(86)80562-5.
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Bacteremia in an ambulatory setting. Improved outcome in children treated with antibiotics.门诊环境中的菌血症。接受抗生素治疗的儿童预后改善。
Am J Dis Child. 1990 Nov;144(11):1195-9. doi: 10.1001/archpedi.1990.02150350027017.
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Occult bacteremia in young febrile children.低龄发热儿童的隐匿性菌血症
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Risk factors for development of bacterial meningitis among children with occult bacteremia.
J Pediatr. 1986 Jul;109(1):15-9. doi: 10.1016/s0022-3476(86)80564-9.
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Fever without localizing signs in children: a review in the post-Hib and postpneumococcal era.儿童无定位体征的发热:在嗜血杆菌疫苗和肺炎球菌疫苗接种后时代的综述
Minerva Pediatr. 2009 Oct;61(5):489-501.
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Occult bacteremia in the emergency department: diagnostic criteria for the young febrile child.急诊科隐匿性菌血症:低龄发热儿童的诊断标准
Ann Emerg Med. 1985 Dec;14(12):1172-7. doi: 10.1016/s0196-0644(85)81024-6.
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Effect of antibiotic therapy and etiologic microorganism on the risk of bacterial meningitis in children with occult bacteremia.抗生素治疗和病原微生物对隐匿性菌血症患儿细菌性脑膜炎风险的影响。
Pediatrics. 1993 Jul;92(1):140-3.
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Do oral antibiotics prevent meningitis and serious bacterial infections in children with Streptococcus pneumoniae occult bacteremia? A meta-analysis.口服抗生素能否预防肺炎链球菌隐匿性菌血症患儿的脑膜炎和严重细菌感染?一项荟萃分析。
Pediatrics. 1997 Mar;99(3):438-44. doi: 10.1542/peds.99.3.438.
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The infant with unexplained fever.患有不明原因发热的婴儿。
Am Fam Physician. 1983 Apr;27(4):129-34.

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