Chinnock R, Butto J, Fernando N
Department of Pediatrics, Loma Linda University Children's Hospital, Loma Linda University School of Medicine, California, USA.
Compr Ther. 1995;21(3):109-14.
The diagnostic approach to the young febrile infant is a common dilemma for anyone caring for children. While historically these patients have been considered for automatic admission to the hospital, it seems prudent, because of the iatrogenic risks of hospitalization and in the interest of cost management, to identify those infants who can be safely, and effectively treated as outpatients. A clinical and laboratory process has been described to assist the clinician in this process. A thorough clinical examination accompanied by screening laboratory data will result in excellent results even in the youngest of our patients.
对于任何照顾儿童的人来说,对发热的幼儿进行诊断都是一个常见的难题。从历史上看,这些患者通常会被直接收治入院,但考虑到住院带来的医源性风险以及成本管理的需要,识别出那些可以作为门诊患者进行安全、有效治疗的婴儿似乎更为审慎。已经描述了一个临床和实验室流程来协助临床医生进行这一过程。即使是最年幼的患者,通过全面的临床检查并辅以筛查实验室数据,也会取得很好的诊断效果。