Practice Patterns of Pediatric Emergency Medicine Physicians Caring for Young Febrile Infants
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 in...
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| Veröffentlicht in: | Clinical pediatrics 2010-04, Vol.49 (4), p.350-354 |
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| creator | Ferguson, Catherine C. Roosevelt, Genie Bajaj, Lalit |
| description | 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. |
| doi_str_mv | 10.1177/0009922809339346 |
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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). 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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.</description><subject>Age</subject><subject>Age Distribution</subject><subject>Bacteriological Techniques - methods</subject><subject>Bacteriological Techniques - utilization</subject><subject>Blood Cell Count - utilization</subject><subject>Blood cells</subject><subject>Cerebrospinal fluid</subject><subject>Clinical Laboratory Techniques - utilization</subject><subject>Culture</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Emergency Medical Services - statistics & numerical data</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Emergency services</subject><subject>Evaluation</subject><subject>Female</subject><subject>Fever - diagnosis</subject><subject>Fever - microbiology</subject><subject>Fever - virology</subject><subject>Guideline Adherence - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Pediatrics</subject><subject>Pediatrics - methods</subject><subject>Pediatrics - statistics & numerical data</subject><subject>Physicians</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>Spinal Puncture - utilization</subject><subject>Training</subject><subject>Urine</subject><issn>0009-9228</issn><issn>1938-2707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1Lw0AQhhdRbK3ePUnAg6fo7Eey2aOUVgsVe9CDBwmbzWxNSZO6mxz6793SglLwNMPMM-_MvIRcU7inVMoHAFCKsQwU54qL9IQMqeJZzCTIUzLcteNdf0AuvF8BUA4JPycDqpJUiASG5HPhtOkqg9FCdx26xketjRZYVrpzlYkma3RLbMw2egk1UzUB_Nr6kOmAjrWrmmVkWxd9tH3Ipli4qsZo1ljddP6SnFlde7w6xBF5n07exs_x_PVpNn6cx4anoovTNDMZClkonVFDAVmByGWphbLhE24ZSwVLM8DMykSUzCQMbaGw5LYsGfIRudvrblz73aPv8nXlDda1brDtfS45p6CSBAJ5e0Su2t414bicKpalVACVgYI9ZVzrvUObb1y11m6bU8h3zufHzoeRm4NwX6yx_B04WB2AeA94vcQ_W_8T_AEa0opX</recordid><startdate>201004</startdate><enddate>201004</enddate><creator>Ferguson, Catherine C.</creator><creator>Roosevelt, Genie</creator><creator>Bajaj, Lalit</creator><general>SAGE Publications</general><general>Westminster Publications, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201004</creationdate><title>Practice Patterns of Pediatric Emergency Medicine Physicians Caring for Young Febrile Infants</title><author>Ferguson, Catherine C. ; Roosevelt, Genie ; Bajaj, Lalit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c364t-668c8e47b9a81c10e2bee37da49f7073f22642680e8f754d2c52efb9ed3fdd2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Age</topic><topic>Age Distribution</topic><topic>Bacteriological Techniques - methods</topic><topic>Bacteriological Techniques - utilization</topic><topic>Blood Cell Count - utilization</topic><topic>Blood cells</topic><topic>Cerebrospinal fluid</topic><topic>Clinical Laboratory Techniques - utilization</topic><topic>Culture</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Emergency Medical Services - statistics & numerical data</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Emergency services</topic><topic>Evaluation</topic><topic>Female</topic><topic>Fever - diagnosis</topic><topic>Fever - microbiology</topic><topic>Fever - virology</topic><topic>Guideline Adherence - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Pediatrics</topic><topic>Pediatrics - methods</topic><topic>Pediatrics - statistics & numerical data</topic><topic>Physicians</topic><topic>Practice Guidelines as Topic</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>Spinal Puncture - utilization</topic><topic>Training</topic><topic>Urine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferguson, Catherine C.</creatorcontrib><creatorcontrib>Roosevelt, Genie</creatorcontrib><creatorcontrib>Bajaj, Lalit</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferguson, Catherine C.</au><au>Roosevelt, Genie</au><au>Bajaj, Lalit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Practice Patterns of Pediatric Emergency Medicine Physicians Caring for Young Febrile Infants</atitle><jtitle>Clinical pediatrics</jtitle><addtitle>Clin Pediatr (Phila)</addtitle><date>2010-04</date><risdate>2010</risdate><volume>49</volume><issue>4</issue><spage>350</spage><epage>354</epage><pages>350-354</pages><issn>0009-9228</issn><eissn>1938-2707</eissn><abstract>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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>19564450</pmid><doi>10.1177/0009922809339346</doi><tpages>5</tpages></addata></record> |
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| subjects | Age Age Distribution Bacteriological Techniques - methods Bacteriological Techniques - utilization Blood Cell Count - utilization Blood cells Cerebrospinal fluid Clinical Laboratory Techniques - utilization Culture Emergency medical care Emergency medical services Emergency Medical Services - statistics & numerical data Emergency Service, Hospital - statistics & numerical data Emergency services Evaluation Female Fever - diagnosis Fever - microbiology Fever - virology Guideline Adherence - statistics & numerical data Humans Infant Infant, Newborn Infants Male Medical personnel Pediatrics Pediatrics - methods Pediatrics - statistics & numerical data Physicians Practice Guidelines as Topic Practice Patterns, Physicians' - statistics & numerical data Retrospective Studies Risk Spinal Puncture - utilization Training Urine |
| title | Practice Patterns of Pediatric Emergency Medicine Physicians Caring for Young Febrile Infants |
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