IBI Score to Improve Clinical Practice in Newborns and Infants ≤ 60 Days with Fever in the Emergency Department

被引：0

作者：

Gatto, Antonio ^{[1
]}

Gambacorta, Alessandro ^{[1
]}

Ferretti, Serena ^{[1
]}

Coretti, Giulia ^{[1
]}

Curatola, Antonietta ^{[1
]}

Covino, Marcello ^{[2
]}

Chiaretti, Antonio ^{[1
]}

机构：

[1] Fdn Policlin Univ A Gemelli IRCCS, Inst Pediat, I-00168 Rome, Italy

[2] Univ Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli IRCCS, Dept Emergency, Rome, Italy

来源：

INDIAN JOURNAL OF PEDIATRICS | 2022年 / 89卷 / 01期

关键词：

Children; Emergency department; Fever; Sepsis; SERIOUS BACTERIAL-INFECTION; LOW-RISK; MANAGEMENT; CRITERIA;

D O I：

10.1007/s12098-021-03932-0

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Fever is the most common problem of children admitted to emergency department (ED). The management of febrile patients <= 60 d old admitted to the Pediatric Emergency Department in the last 5 y was evaluated, applying the invasive bacterial infection (IBI) score proposed to evaluate the reliability and safety of this score in the authors' setting. Medical records of 280 patients with fever reported and/or detected in ED were retrospectively analyzed. A total of 166 patients were enrolled, whose average IBI score was 2.98 IBI score < 2 showed a sensitivity of 100.00% [95% CI (71.5-100.0)] and a specificity of 28.39% [95% CI (21.4-36.2)] compared to blood culture. IBI score can be a valid support to identify patients with low risk of invasive infection.

引用

页码：77 / 79

页数：3

共 10 条

[1] A Prediction Model to Identify Febrile Infants ≤60 Days at Low Risk of Invasive Bacterial Infection [J].

Aronson, Paul L. ;

Shabanova, Veronika ;

Shapiro, Eugene D. ;

Wang, Marie E. ;

Nigrovic, Lise E. ;

Pruitt, Christopher M. ;

DePorre, Adrienne G. ;

Leazer, Rianna C. ;

Desai, Sanyukta ;

Sartori, Laura F. ;

Marble, Richard D. ;

Rooholamini, Sahar N. ;

McCulloh, Russell J. ;

Woll, Christopher ;

Balamuth, Fran ;

Alpern, Elizabeth R. ;

Shah, Samir S. ;

Williams, Derek J. ;

Browning, Whitney L. ;

Shah, Nipam ;

Neuman, Mark, I .

PEDIATRICS, 2019, 144 (01)

[2] 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

[3] A predictive model to estimate the risk of serious bacterial infections in febrile infants [J].

Berger, RMF ;

Berger, MY ;

vanSteenselMoll, HA ;

DzoljicDanilovic, G ;

DerksenLubsen, G .

EUROPEAN JOURNAL OF PEDIATRICS, 1996, 155 (06) :468-473

[4] IDENTIFICATION OF INFANTS UNLIKELY TO HAVE SERIOUS BACTERIAL-INFECTION ALTHOUGH HOSPITALIZED FOR SUSPECTED SEPSIS [J].

DAGAN, R ;

POWELL, KR ;

HALL, CB ;

MENEGUS, MA .

JOURNAL OF PEDIATRICS, 1985, 107 (06) :855-860

[5] Utility of a pediatric observation unit for the management of children admitted to the emergency department [J].

Gatto, Antonio ;

Rivetti, Serena ;

Capossela, Lavinia ;

Pata, Davide ;

Covino, Marcello ;

Chiaretti, Antonio .

ITALIAN JOURNAL OF PEDIATRICS, 2021, 47 (01)

[6] Validation of the "Step-by-Step" Approach in the Management of Young Febrile Infants [J].

Gomez, Borja ;

Mintegi, Santiago ;

Bressan, Silvia ;

Da Dalt, Liviana ;

Gervaix, Alain ;

Lacroix, Laurence .

PEDIATRICS, 2016, 138 (02)

[7] Performance of Low-Risk Criteria in the Evaluation of Young Infants With Fever: Review of the Literature [J].

Huppler, Anna R. ;

Eickhoff, Jens C. ;

Wald, Ellen R. .

PEDIATRICS, 2010, 125 (02) :228-233

[8] The evolving approach to the young child who has fever and no obvious source [J].

Ishimine, Paul .

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA, 2007, 25 (04) :1087-+

[9]

JASKIEWICZ JA, 1994, PEDIATRICS, V94, P390

[10] Adherence to Guidelines for Managing the Well-Appearing Febrile Infant Assessment Using a Case-Based, Interactive Survey [J].

Meehan, William Paul, III ;

Fleegler, Eric ;

Bachur, Richard G. .

PEDIATRIC EMERGENCY CARE, 2010, 26 (12) :875-880

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