Evaluation and Management of Febrile, Well-appearing Young Infants

被引：42

作者：

Biondi, Eric A. ^{[1
]}

Byington, Carrie L. ^{[2
]}

机构：

[1] Univ Rochester, Med Ctr, Dept Pediat, Rochester, NY 14642 USA

[2] Univ Utah, Dept Pediat, Salt Lake City, UT 84112 USA

来源：

INFECTIOUS DISEASE CLINICS OF NORTH AMERICA | 2015年 / 29卷 / 03期

基金：

美国国家卫生研究院;

关键词：

Fever; Infant; Serious bacterial infection; Viral illness; Management; SERIOUS BACTERIAL-INFECTIONS; SIMPLEX-VIRUS INFECTION; THAN; 3; MONTHS; LOW-RISK; CHANGING EPIDEMIOLOGY; OUTPATIENT MANAGEMENT; ROCHESTER CRITERIA; DAYS OLD; AGE; FEVER;

D O I：

10.1016/j.idc.2015.05.008

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

The evaluation and management of well-appearing febrile infants less than 3 months of age has presented a decades-long clinical conundrum for providers. This article reviews the epidemiology of bacterial and viral infections in these infants. It discusses evidence-based diagnostic and treatment strategies, including appropriate use of testing, admission to the hospital, use of antibiotics, and hospital discharge. It also highlights the substantial variation in care for febrile infants and provides strategies to standardize practice.

引用

页码：575 / +

页数：12

共 52 条

[1] Procalcitonin and C-reactive protein as diagnostic markers of severe bacterial infections in febrile infants and children in the emergency department [J].

Andreola, Barbara ;

Bressan, Silvia ;

Callegaro, Silvia ;

Liverani, Anna ;

Plebani, Mario ;

Da Dalt, Liviana .

PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2007, 26 (08) :672-677

[2] Variation in Care of the Febrile Young Infant <90 Days in US Pediatric Emergency Departments [J].

Aronson, Paul L. ;

Thurm, Cary ;

Alpern, Elizabeth R. ;

Alessandrini, Evaline A. ;

Williams, Derek J. ;

Shah, Samir S. ;

Nigrovic, Lise E. ;

McCulloh, Russell J. ;

Schondelmeyer, Amanda ;

Tieder, Joel S. ;

Neuman, Mark I. .

PEDIATRICS, 2014, 134 (04) :667-677

[3] Predictive model for serious bacterial infections among infants younger than 3 months of age [J].

Bachur, RG ;

Harper, MB .

PEDIATRICS, 2001, 108 (02) :311-316

[4] The efficacy of routine outpatient management without antibiotics of fever in selected infants [J].

Baker, MD ;

Bell, LM ;

Avner, JR .

PEDIATRICS, 1999, 103 (03) :627-631

[5] OUTPATIENT MANAGEMENT WITHOUT ANTIBIOTICS OF FEVER IN SELECTED INFANTS [J].

BAKER, MD ;

BELL, LM ;

AVNER, JR .

NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (20) :1437-1441

[6] PRACTICE GUIDELINE FOR THE MANAGEMENT OF INFANTS AND CHILDREN 0 TO 36 MONTHS OF AGE WITH FEVER WITHOUT SOURCE [J].

BARAFF, LJ ;

BASS, JW ;

FLEISHER, GR ;

KLEIN, JO ;

MCCRACKEN, GH ;

POWELL, KR ;

SCHRIGER, DL .

ANNALS OF EMERGENCY MEDICINE, 1993, 22 (07) :1198-1210

[7] OUTPATIENT TREATMENT OF FEBRILE INFANTS 28 TO 89 DAYS OF AGE WITH INTRAMUSCULAR ADMINISTRATION OF CEFTRIAXONE [J].

BASKIN, MN ;

OROURKE, EJ ;

FLEISHER, GR .

JOURNAL OF PEDIATRICS, 1992, 120 (01) :22-27

[8] Infants 1-90 Days Old Hospitalized With Human Rhinovirus Infection [J].

Bender, Jeffrey M. ;

Taylor, Charla S. ;

Cumpio, Joven ;

Novak, Susan M. ;

She, Rosemary C. ;

Steinberg, Evan A. ;

Marlowe, Elizabeth M. .

JOURNAL OF CLINICAL LABORATORY ANALYSIS, 2014, 28 (05) :349-352

[9] Influenza Virus Infection in Infants Less Than Three Months of Age [J].

Bender, Jeffrey M. ;

Ampofo, Krow ;

Gesteland, Per ;

Sheng, Xiaoming ;

Korgenski, Kent ;

Raines, Bill ;

Daly, Judy A. ;

Valentine, Karen ;

Srivastava, Rajendu ;

Pavia, Andrew T. ;

Byington, Carrie L. .

PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2010, 29 (01) :6-9

[10] A prospective study of the risk for serious bacterial infections in hospitalized febrile infants with or without bronchiolitis [J].

Bilavsky, Efraim ;

Shouval, Dror S. ;

Yarden-Bilavsky, Havatzelet ;

Fisch, Naama ;

Ashkenazi, Shai ;

Amir, Jacob .

PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2008, 27 (03) :269-270

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