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White Blood Cell Count in the Evaluation of the Febrile InfantTime to Revisit the Dogma?
JAMA Pediatrics ( IF 26.1 ) Pub Date : 2017-09-11 , DOI: 10.1001/jamapediatrics.2017.2796
Matthew Mischler 1 , Francis McBee Orzulak 2 , Jessica Hanks 2
Affiliation  

The diagnostic challenge of the infant younger than 60 days presenting to medical attention with fever has been the source of numerous publications, clinical scoring systems, and, more importantly, a high level of clinical uncertainty for caregivers evaluating this population.1- 3 The rate of serious bacterial infection is high enough in this age group to warrant evaluation, but it is unclear how much or how little evaluation is warranted.4 Clinical signs and symptoms have been shown to be unreliable at best, and as a result, there is a high level of clinical variability in emergency departments and clinical wards nationwide.5,6 The true impetus behind the evaluation of infants in this age group presenting with fever is the early recognition and diagnosis of invasive bacterial infections (IBI), thereby preventing the potential morbidity and mortality that comes with these infections.



中文翻译:

白细胞计数在评估婴儿热线教条时期的评估中

对于发烧的医疗护理,年龄小于60天的婴儿的诊断挑战已成为众多出版物,临床评分系统的来源,更重要的是,对于护理人员评估该人群的临床不确定性较高。1 - 3严重的细菌感染的发生率是在这个年龄组,以令评价够高,但目前还不清楚有多少或如何评价小是必要的。4临床症状和体征充其量是不可靠的,因此,全国急诊科和临床病房的临床变异性很高。5 ,6 对出现发烧的这一年龄段的婴儿进行评估的真正动力在于对侵入性细菌感染(IBI)的早期识别和诊断,从而防止了这些感染带来的潜在发病率和死亡率。

更新日期:2017-09-11
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