This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Infectious Diseases  • Bacterial Infections  • Pediatrics, Other  • Alert me on articles by topic

Arch Pediatr Adolesc Med. 2005;159:91.

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

Lee et al¹ reported the results of a survey of pediatricians asked to evaluate a hypothetical child with fever in the era of the pneumococcal conjugate vaccine. They found an expected decrease in the number of physicians who would perform white blood cell counts and blood cultures and an unexpected decrease in the number who would perform urine cultures. Because Streptococcus pneumoniae is not a typical cause of urinary tract infections, I share their concern.

We published a similar study² in which we presented 15 000 pediatricians and emergency department physicians with a very comparable case scenario and found similar results. The physicians reported they would order fewer white blood cell counts and blood cultures along with fewer urine cultures. These trends also occurred when the age of the hypothetical child was raised to 20 months. The magnitude of the changes was less than found by Lee et al. This may . . . [Full Text of this Article]

AUTHOR INFORMATION

Stephen R. Barone, MD