This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on ISI (12)  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Pediatrics, Other  • Alert me on articles by topic

Time to Reevaluate Our Approach?

Arch Pediatr Adolesc Med. 2002;156:855-857.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

THE EVALUATION of young non–toxic-appearing febrile children has stirred up considerable debate, with much of the controversy surrounding the identification of occult bacterial illness, specifically bacteremia. Despite the publication of guidelines to assist clinicians with decision making regarding the evaluation of febrile infants and young children,^1-2 wide variations persist in both the evaluation and treatment of these children.^3-4

In the decade following the introduction of a conjugate vaccine against Haemophilus influenzae type b, but prior to the licensure of the conjugate pneumococcal vaccine, the prevalence of occult bacteremia in non–toxic-appearing children between 3 and 36 months of age with temperatures higher than 39°C declined to roughly 2%.^5-7 More than 90% of episodes of occult bacteremia were due to Streptococcus pneumoniae. Of children with occult S pneumoniae bacteremia, approximately 3% to 5% go on to develop pneumococcal meningitis if not treated with empirical antibiotics.^8-9 Thus, pneumococcal meningitis develops in only . . . [Full Text of this Article]

RELATED ARTICLE

Utility of the Serum C-reactive Protein for Detection of Occult Bacterial Infection in Children
Daniel J. Isaacman and Bonnie L. Burke
Arch Pediatr Adolesc Med. 2002;156(9):905-909.
ABSTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Pediatricians' Self-reported Clinical Practices and Adherence to National Immunization Guidelines After the Introduction of Pneumococcal Conjugate Vaccine
Lee et al.
Arch Pediatr Adolesc Med 2004;158:695-701.
ABSTRACT | FULL TEXT  

Risk of Bacteremia in Young Children With Pneumonia Treated as Outpatients
Shah et al.
Arch Pediatr Adolesc Med 2003;157:389-392.
ABSTRACT | FULL TEXT  

Is CRP Best for Detecting Bacterial Infections in Febrile Children?
JWatch General 2002;2002:6-6.
FULL TEXT