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Fever survey highlights significant variations in how infants aged ≤60 days are evaluated and underline the need for

Havatzelet Yarden-Bilavsky1, Shai Ashkenazi, Jacob Amir

  • 1Department of Pediatrics A, Schneider Children's Medical Center, Petah Tiqva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Acta Paediatrica (Oslo, Norway : 1992)
|January 23, 2014
PubMed

Insights

Practices for evaluating and treating febrile infants vary widely across Israeli hospitals, indicating a need for national guidelines. Current approaches show significant differences in protocols and treatment strategies for young children with fever.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Febrile infants require careful evaluation and management due to potential serious infections.
  • Current practices for managing febrile infants aged 60 days and younger may lack standardization.

Purpose of the Study:

  • To survey current practices for evaluating and treating febrile infants up to 60 days old across Israel.
  • To identify variations in diagnostic and treatment protocols among different medical centers.

Main Methods:

  • A nationwide survey was conducted using questionnaires administered to pediatric departments in all 25 Israeli hospitals.
  • Data collected included information on written protocols, definitions of normal laboratory values, hospitalization criteria, and empiric antibiotic use.

Main Results:

  • Only 36% of surveyed centers had written protocols for febrile infants.
  • Significant differences were observed in hospitalization rates for low-risk infants (29-60 days) between hospital levels.
  • Ampicillin and gentamicin were the most common empiric antibiotics used (92% of centers).

Conclusions:

  • There are substantial variations in the evaluation and treatment of febrile infants across Israeli hospitals.
  • The findings highlight a critical need for national or international guidelines to standardize care for febrile infants.
  • Standardized guidelines could improve consistency and potentially outcomes for this vulnerable population.
Abstract

Keywords:
BacteremiaNational surveyNeonatal feverRochester criteriaSepsis work-upSerious bacterial infectionUrinary tract infection

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