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Prise en charge des enfants fébriles sans signes localisateurs d'un foyer infectieux

Published in Archives de pédiatrie. 2001, vol. 8, no. 3, p. 324-30
Abstract The management of infants and young children with fever without source (FWS) is a difficult challenge for pediatricians. Of 100 children with FWS, ten to 20 will have a serious bacterial infection (SBI) and 4 to 5% bacteriemia. Because no single aspect of the medical history, physical examination and laboratory parameters can reliably identify a child at increased risk for SBI, most management strategies now focus on identifying infants that are less likely to have SBI. The negative predictive value for 'low-risk criteria' SBI is close to 100%. Therefore, if it is possible to carry out a daily clinical examination, antibiotic treatment can be withheld from these children. For children who do not fulfill the low-risk criteria, antibiotics must be administered until the results of blood and urine samples and possibly CSF cultures have been obtained.
Keywords Age FactorsAnti-Bacterial Agents/therapeutic useBacteremia/complications/diagnosis/drug therapy/microbiologyBacterial Infections/complications/diagnosis/drug therapy/microbiologyChildChild, PreschoolFever of Unknown Origin/etiologyHumansInfantMedical History TakingPatient SelectionPediatrics/methodsPhysical ExaminationPredictive Value of TestsRisk Factors
PMID: 11270261
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Research group Etiologie des pneumonies et marqueurs inflammatoires chez l'enfant fébrile (183)
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GERVAIX, Alain, CAFLISCH, Marianne, SUTER, Susanne. Prise en charge des enfants fébriles sans signes localisateurs d'un foyer infectieux. In: Archives de pédiatrie, 2001, vol. 8, n° 3, p. 324-30. https://archive-ouverte.unige.ch/unige:72701

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Deposited on : 2015-05-19

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