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Step-by-Step Approach for Determining Risk in Infants with Fever of Unknown Etiology
Feb 17, 2018
•
Mark Morgan
categories:
Pediatrics
Step-by-Step Approach for Determining Risk in Infants with Fever of Unknown Etiology
Ill appearing on initial exam by the physician
Age less than or equal to 21 days
Dipstick urinalysis positive for leukocyte esterase
Procalcitonin less than or equal to 0.5 ng per mL
C-reactive protein greater than 20 mg per L (190.5 nmol per L) or absolute neutrophil count greater than 10,000 per mm3
Criteria present -->
number
score1=(Q1)
Interpretation -->
suggestion
score2=(Q1);score2>0?'High Risk - 41.2 percent positive predictive value for serious bacterial infection':'Low Risk - 98.2 percent negative predictive value for serious bacterial infection'
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Reference:
#1
Steinberg, J. Point-of-Care Guides - Young Febrile Infants: Step-by-Step Evaluation Am Fam Physician. 2018 Jan 1;97(1):45-46.
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