Document Detail


Practice patterns of pediatric emergency medicine physicians caring for young febrile infants.
MedLine Citation:
PMID:  19564450     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors conducted a chart review of all febrile infants between 28 and 90 days of age who presented to the emergency department (ED) between December 1 and March 31 during 2004-2006. The objectives of the study were to describe the practice patterns of pediatric ED physicians caring for these infants and to determine whether the evaluation and management of these infants differed based on their age at presentation. Two groups were compared-infants aged 28 to 59 days (n = 79) and infants aged 60 to 90 days (n = 88). As compared with the younger age group, infants in the older age group had fewer complete blood cell counts (relative risk, RR = 3.57; 95% confidence interval [CI], 2.15-5.95), fewer blood cultures (RR = 3.38; 95% CI, 1.99-5.74), fewer urine cultures (RR = 3.83; 95% CI, 1.81-8.13), and fewer cerebrospinal fluid cultures (RR = 2.56; 95% CI, 1.94-3.40). Overall, there was poor adherence to current guidelines for the diagnostic evaluation of young febrile infants.
Authors:
Catherine C Ferguson; Genie Roosevelt; Lalit Bajaj
Publication Detail:
Type:  Journal Article     Date:  2009-06-29
Journal Detail:
Title:  Clinical pediatrics     Volume:  49     ISSN:  1938-2707     ISO Abbreviation:  Clin Pediatr (Phila)     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-05-28     Completed Date:  2010-09-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372606     Medline TA:  Clin Pediatr (Phila)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  350-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, The Children's Hospital, The University of Colorado Health Sciences Center, Aurora, 80045, USA. ferguson.catherine@tchden.org
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MeSH Terms
Descriptor/Qualifier:
Age Distribution
Bacteriological Techniques / methods,  utilization
Blood Cell Count / utilization
Emergency Medical Services / statistics & numerical data
Emergency Service, Hospital / statistics & numerical data*
Female
Fever / diagnosis*,  microbiology,  virology
Guideline Adherence / statistics & numerical data
Humans
Infant
Infant, Newborn
Laboratory Techniques and Procedures / utilization*
Male
Pediatrics / methods,  statistics & numerical data*
Physician's Practice Patterns / statistics & numerical data*
Practice Guidelines as Topic*
Retrospective Studies
Risk
Spinal Puncture / utilization

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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