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Risk Factors for Serious Bacterial Infection in Febrile Young Infants in a Community Referral Hospital
DC Field | Value | Language |
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dc.contributor.author | Shin, Seung Han | - |
dc.contributor.author | Choi, Chang Won | - |
dc.contributor.author | Lee, Jin-A | - |
dc.contributor.author | Kim, Ee-Kyung | - |
dc.contributor.author | Kim, Han-Suk | - |
dc.contributor.author | Choi, Jung-Hwan | - |
dc.contributor.author | Kim, Beyong Il | - |
dc.contributor.author | Choi, Eun Hwa | - |
dc.date.accessioned | 2012-06-12T04:08:32Z | - |
dc.date.available | 2012-06-12T04:08:32Z | - |
dc.date.issued | 2009-10 | - |
dc.identifier.citation | JOURNAL OF KOREAN MEDICAL SCIENCE; Vol.24 5; 844-848 | ko_KR |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.uri | https://hdl.handle.net/10371/76989 | - |
dc.description.abstract | Differentiation of serious bacterial infection (SBI) from self-limiting viral illness in febrile infants younger than three months is a significant challenge for clinicians. We aimed to assess the risk factors for SBI in febrile infants. Data were obtained from 221 infants younger than three months who visited a single community referral hospital for fever and underwent a complete sepsis workup between August 2003 and July 2006. The causes of fever were febrile illness without a documented cause (FISDC, 65%), urinary tract infection (UTI, 12%), aseptic meningitis (12%), bacteremia (4%), bacterial meningitis (2%). Cerebrospinal fluid enterovirus polymerase chain reaction was positive in 28% of FISDC and 48% of aseptic meningitis cases. When UTI was excluded, the risk factors for SBI were 1) C-reactive protein (CRP) level of >= 1.87 mg/dL and 2) fevers of >= 38.9 degrees C. The specificity and negative predictive values of risk factors 1) and 2) for the diagnosis of SBI were 94% and 95%, respectively. We concluded that enteroviral infection may be a major cause of febrile episodes in infants younger than three months. If UTI could be excluded, the presence of CRP levels >= 1.87 mg/dL and fevers of >= 38.9 degrees C can be used as criteria to rule out SBI in these infants. | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | KOREAN ACAD MEDICAL SCIENCES | ko_KR |
dc.subject | C-reactive Protein | ko_KR |
dc.subject | Enterovirus Infections | ko_KR |
dc.subject | Fever | ko_KR |
dc.subject | Serious Bacterial Infection | ko_KR |
dc.subject | Neonatal Sepsis | ko_KR |
dc.title | Risk Factors for Serious Bacterial Infection in Febrile Young Infants in a Community Referral Hospital | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | 신승한 | - |
dc.contributor.AlternativeAuthor | 최창원 | - |
dc.contributor.AlternativeAuthor | 이진아 | - |
dc.contributor.AlternativeAuthor | 김이경 | - |
dc.contributor.AlternativeAuthor | 최은화 | - |
dc.contributor.AlternativeAuthor | 김한석 | - |
dc.contributor.AlternativeAuthor | 김병일 | - |
dc.contributor.AlternativeAuthor | 최정환 | - |
dc.identifier.doi | 10.3346/jkms.2009.24.5.844 | - |
dc.citation.journaltitle | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
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dc.description.tc | 2 | - |
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