Does clinical presentation explain practice variability in the treatment of febrile infants?

Pediatrics

Volumn 117, Issue 3, 2006, Pages 787-795

  Bergman, David A ^a,f   Mayer, Michelle L ^b   Pantell, Robert H ^c   Finch, Stacia A ^d   Wasserman, Richard C ^e  

^a STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF NORTH CAROLINA   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d AMERICAN ACADEMY OF PEDIATRICS   (United States)

^e UNIVERSITY OF VERMONT   (United States)

^f Division of Pediatric Cardiology   (United States)

Author keywords

Febrile infants; Practice guidelines; Practice variability

Indexed keywords

ANTIBIOTIC AGENT;

ARTICLE; BLOOD EXAMINATION; CLINICAL FEATURE; CLINICAL PRACTICE; CONTROLLED STUDY; DEMOGRAPHY; DISEASE SEVERITY; FEVER; HEALTH INSURANCE; HOSPITALIZATION; HUMAN; INFANT; LUMBAR PUNCTURE; MAJOR CLINICAL STUDY; PEDIATRICIAN; PRACTICE GUIDELINE; PRIORITY JOURNAL; SCORING SYSTEM; URINALYSIS; MALE; MIDDLE AGED; NEWBORN; PEDIATRICS; UNITED STATES;

FEVER; GUIDELINE ADHERENCE; HUMANS; INFANT; INFANT, NEWBORN; MALE; MIDDLE AGED; PEDIATRICS; PHYSICIAN'S PRACTICE PATTERNS; UNITED STATES;

EID: 33645016801     PISSN: 00314005     EISSN: 02105721     Source Type: Journal    
DOI: 10.1542/peds.2005-0947     Document Type: Article

References (15)

1. 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: Agency for Health Care Policy and Research. Ann Emerg Med. 1993;22:1198-1210
2. Baraff LJ. Management of fever without source in infants and children. Ann Emerg Med. 2000;36:602-614
3. Wittler RR, Cain KK, Bass JW. A survey about management of febrile children without source by primary care physicians. Pediatr Infect Dis J. 1998;17:271-277
4. Jones RG, Bass JW. Febrile children with no focus of infection: a survey of their management by primary care physicians. Pediatr Infect Dis J. 1993;12:179-183
5. Young PC. The management of febrile infants by primary-care pediatricians in Utah: comparison with published practice guidelines. Pediatrics. 1995;95:623-627
6. Zerr DM, Del Beccaro MA, Cummings P. Predictors of physician compliance with a published guideline on management of febrile infants. Pediatr Infect Dis J. 1999;18:232-238
7. Pantell RH, Newman TB, Bernzweig J, et al. Management and outcomes of care of fever in early infancy. JAMA. 2004;291:1203-1212
8. American Academy of Pediatrics. Periodic Survey of Fellows 32. Elk Grove Village, IL: Division of Health Services Research, American Academy of Pediatrics; 1995
9. Agency for Healthcare Research and Quality. Guidelines. Available at: www.guideline.gov. Accessed January 21, 2006
10. McCarthy PL, Jekel JF, Stashwick CA, Spiesel SZ, Dolan TF Jr. History and observation variables in assessing febrile children. Pediatrics. 1980;65:1090-1095
11. McCarthy PL, Sharpe MR, Spiesel SZ, et al. Observation scales to identify serious illness in febrile children. Pediatrics. 1982;70:802-809
12. Dagan R, Sofer S, Phillip M, Shachak E. Ambulatory care of febrile infants younger than 2 months of age classified as being at low risk for having serious bacterial infections. J Pediatr. 1988;112:355-360
13. Jaskiewicz JA, McCarthy CA, Richardson AC, et al. Febrile infants at low risk for serious bacterial infection: an appraisal of the Rochester criteria and implications for management: Febrile Infant Collaborative Study Group. Pediatrics. 1994;94:390-396
14. Bennett JE, Sumner W II, Downs SM, Jaffe DM. Parents' utilities for outcomes of occult bacteremia. Arch Pediatr Adolesc Med. 2000;154:43-48
15. Wennberg J. The Dartmouth Atlas of Health Care in the United States. Hanover, NH: Trustees of Dartmouth College; 1999