Evaluation of a protocol for selective empiric treatment of fever without localising signs

Archives of Disease in Childhood

Volumn 76, Issue 2, 1997, Pages 129-133

  Browne, G J ^a,b   Ryan, J M ^a   McIntyre, P ^a  

^a WESTMEAD HOSPITAL   (Australia)

^b CHILDREN S HOSPITAL AT WESTMEAD   (Australia)

Author keywords

bacteraemia; ceftriaxone; emergency department

Indexed keywords

CEFTRIAXONE;

ARTICLE; AUSTRALIA; BACTEREMIA; BLOOD CELL COUNT; BLOOD CULTURE; CHILD; FEVER; HAEMOPHILUS INFLUENZAE; HUMAN; PRIORITY JOURNAL; RISK FACTOR; STREPTOCOCCUS PNEUMONIAE;

EID: 0031025319     PISSN: 00039888     EISSN: 14682044     Source Type: Journal    
DOI: 10.1136/adc.76.2.129     Document Type: Article

References (20)

1. McGowan JE, Bratton L, Klein JO, Finland M . Bacteremia in febrile children seen in a 'walk in' pediatric clinic. N Engl J Med 1973;288:1309-12.
2. Singer JI, Vest J, Prints A. Occult bacteremia and septicemia in the febrile child younger than two years. Emerg Med Clin North Am 1995;13:381-416.
3. Baraff LJ, Bass JW, Fleisher GR, et al. Practice guideline for the management of infants and children 0 to 36 months of age with fever without source. Pediatrics 1993;82:1-12.
4. Shapiro ED, Aaron NH, Wald ER, Chiponis D. Risk factors for development of bacterial meningitis among children with occult bacteremia. J Pediatr 1986;109:15-9.
5. McIntyre P, Chey T, Smith W. The impact of vaccination againstHaemophilus influenzae type b disease in the Sydney region. Med J Aust 1995;162:245-8.
6. Fleisher GR, Rosenberg N, Vinci R, et al. Intramuscular versus oral antibiotic therapy for the prevention of meningitis and other bacterial sequelae in young, febrile children at risk for occult bacteremia. J Pediatr 1994;124:585-8.
7. Long S. Antibiotic therapy in febrile children: 'best-laid schemes'. J Pediatr 1994;124:585-8.
8. McIntyre P, Gray S, Vance J. Unsuspected bacterial infections in febrile convulsions. Med J Aust 1990;152:183-6.
9. McIntyre P, Kennedy R, Harris F. Occult pneumococcal bacteraemia and febrile convulsions. BMJ 1983;286:203-6.
10. Young PC. The management of febrile infants by primary care paediatricians in Utah: comparison with published practice guidelines. Pediatics 1995;95:623-8.
11. Browne GJ, Penna A. Short stay facilities: the future of efficient paediatric emergency services. Arch Dis Child 1996;74:309-13.
12. Lorens XS, McCracken GH. Sepsis syndrome and septic shock in pediatrics: current concepts of terminology, pathophysiology, and management. J Pediair 1993;123: 4976-508.
13. McCarthy PL, Sharpe MR, Spiesel SZ, et al. Observation scales to identify serious illness in febrile children. Pediatrics 1982;70:802-9.
14. Vinen JD, Gaudry PL, Ashby R, et al. Critical incident monitoring study (CIMS) in emergency medicine - an interim report. Report to the Commonwealth Department of Human Services and Health. Canberra: Department of Health, 1994.
15. Harper MB, Bachur R, Fleisher GR. Effect of antibiotic therapy on the outcome of outpatients with unsuspected bacteraemia. Pediatr Inf Dis J 1995;14:760-7.
16. Bass JW, Steele RW, Wittler RR, et al. Antimicrobial treatment of occult bacteremia: a multicenter cooperative study. Pediatr Infect Dis J 1993;12:466-73.
17. Barraff LJ, Oslund S, Prather M. The effect of antimicrobial therapy on the probability of bacterial meningitis in children with fever without source treated as outpatients. Pediatrics 1993;92:140-3.
18. Vinci R, Garabedian C, Bauchner H. Accuracy of tympanic thermometry in a pediatric emergency department. Am J Dis Child 1990;144:429.
19. Chamberlain LM, Gandner J, Rubinoff JL, et al. Comparison of a tympanic thermometer to rectal and oral thermometers in a pediatric emergency department. Clin Pediatr (Phila) 1991;30:24-9.
20. Blis-Holtz J. Determination of thermoregulatory state in full term infants. Nurs Res 1993;42:204-7.