TY  - JOUR
T1  - BLood cultures in pediatric practice
AU  - ROBERTS KB, Charney E, Orr S, Bodnar P, Sweren R
Y1  - 1979/10/01
N1  - 10.1001/archpedi.1979.02130100020002
JO  - American Journal of Diseases of Children
SP  - 996
EP  - 998
VL  - 133
IS  - 10
N2  - Occult pneumococcal bacteremia in infants was recognized as an entity a decade ago,1.2 but the frequency of its occurrence was not appreciated until Klein and his associates at the Boston City Hospital (BCH) studied 600 consecutive febrile outpatients younger than 2 years of age.3 They documented bacteremia in 3.2% of them, with Streptococcus pneumoniae the pathogen in nearly 80%. Subsequently, they documented the development of meningitis in 4% of the infants with unsuspected pneumococcemia.4 Two risk factors, a rectal temperature ≥ 38.9 °C and a WBC count > 15,000/cu mm, present together in only 28% of the patients, were recognized to identify 79% of those with positive blood cultures. The following display presents rates from the BCH data:Of 1,000 febrile infants younger than 2 years of age, 769 have rectal temperature ≥ 38.9 °C.Of these 769 infants, 287 have WBC counts > 15,000/cu
SN  - 0002-922X
M3  - doi: 10.1001/archpedi.1979.02130100020002
UR  - http://dx.doi.org/10.1001/archpedi.1979.02130100020002
ER  -