We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
The Pediatric Forum |

Bacteremia and Urinary Tract Infections in Young Febrile Children With Bronchiolitis

Harminder S. Dhaliwal, MD
Arch Pediatr Adolesc Med. 1998;152(8):818-819. doi:.
Text Size: A A A
Published online


I read with interest the article by Kuppermann et al published in the December 1997 ARCHIVES (1997;151:1207-1214). The conclusion was "Previously healthy febrile children aged 24 months or younger with bronchiolitis are unlikely to have bacteremia or UTI [urinary tract infecions]. Therefore, routine cultures of the blood and urine in these patients are unnecessary."1(p1207) This recommendation seems to be too sweeping in nature. If you have a 10- to 12-week-old infant who has a fever, mild respiratory distress, and wheezing, it may be wise to do a blood culture for possible pneumonia because very often the radiological findings of pneumonia may lag behind the clinical presentation.2 An almost 2-year-old child with a low-grade fever and wheezing does not require a blood or urine culture. A screening urine analysis may be a better option.3 The decision of doing a blood and urine culture in a febrile patient should be considered using the age of the patient and the presence or absence of a clearly defined source of infection.4,5

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Make the Diagnosis: Bacteremia

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Prior Probability of Bacteremia