Fever without source in infants aged 22–60 days:how laboratory tests perform at identifying bacterial infections and predicting the need for a lumbar puncture?  

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作  者:Keven Vachon Geneviève Gravel Samuel Leduc Alexandra Larouche Myriam Mallet David Simonyan Mahukpe Narcisse Ulrich Singbo Julie Ouellet-Pelletier Simon Berthelot 

机构地区:[1]Centre de Recherche du CHU de Québec-UniversitéLaval,Population Health and Optimal Health Practices Axis,Québec G1V 4G2,Canada [2]Faculty of Medicine,UniversitéLaval,Québec G1V 0A6,Canada [3]Centre Hospitalier de l’UniversitéLaval(CHUL),Québec G1V 4G2,Canada

出  处:《World Journal of Emergency Medicine》2025年第1期74-77,共4页世界急诊医学杂志(英文)

基  金:the financial contribution of the Groupe de Recherche En Médecine d’Urgence du CHUL (GREMUC);which is the local emergency department research group。

摘  要:Febrile infants are at greater risk of invasive bacterial infections (IBI),which include bacterial meningitis and bacteremia.Although bacterial meningitis is uncommon,^([1-2])it remains a concern for clinicians treating infants younger than 90 d.Guidelines for investigating fever without a source(meaning without an apparent source of infection,or of nonobvious origin) are numerous around the world but remain conflicting,particularly on whether to perform a lumbar puncture for cerebrospinal fluid (CSF) analysis in infants older than 22 d and hence at lower risk than younger infants.

关 键 词:PUNCTURE INFECTIONS LUMBAR 

分 类 号:R720.597[医药卫生—急诊医学]

 

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