PERSPECTIVE
Neonatal fever
Is there a place for "drive thru" management of neonatal fever? Not yet!
Correspondence to:
Correspondence to:
P Rudd
Children’s Center, Royal United Hospital, Bath BA1 3NG, UK; peter.rudd@ruh-bath.swest.nhs.uk
Perspective on the paper by Marom et al (see page F15)
| The first 150 words of the full text of this article appear below. |
The non-specific symptoms and signs of severe bacterial infection (SBI) in the neonate means that for reasons of safety many children with fever are hospitalised and treated with antibiotics for non-existent bacterial infections. Psychologists, microbiologists, parents and hospital managers have taught us that admission is something to be avoided, although for some families the perceived safety of a children’s ward can be very reassuring. Thus, a study that helps to discriminate the neonate with infection from one without infection is to be welcomed.
What have Marom et al1 shown? There was an extremely low rate of SBI (1/166; 0.6%) among infants fulfilling low-risk criteria, as follows: previously well, good appearance, no focal signs, a low erythrocyte sedimentation rate, a white cell count of 5000–15 000/mm3 and normal urinalysis. The relatively high risk for SBI in the other group (107/220; 48.6%) was accounted for by a large number of
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- Quick identification of febrile neonates with low risk for serious bacterial infection: an observational study
- R Marom, W Sakran, J Antonelli, Y Horovitz, Y Zarfin, A Koren, and D Miron
Arch. Dis. Child. Fetal Neonatal Ed. 2007 92: F15-F18.[Abstract] [Full Text] [PDF]
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