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Potential bacteremia in pediatric practice.

R Hoekelman, E B Lewin, M B Shapira

    American Journal of Diseases of Children (1960)
    |October 1, 1979
    PubMed
    Summary
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    Pediatricians frequently encounter infants at risk for bacteremia, a serious bloodstream infection. Rapid diagnostic tools are needed to identify and manage these young patients effectively.

    Area of Science:

    • Pediatrics
    • Infectious Diseases
    • Clinical Microbiology

    Background:

    • Bacteremia poses significant risks to infants, especially those aged 3-24 months with fever.
    • Physicians are advised to carefully evaluate and aggressively treat infants with suspected or proven bacteremia.

    Purpose of the Study:

    • To determine the frequency with which primary care pediatric practitioners encounter infants at risk for bacteremia.

    Main Methods:

    • A study was conducted across nine pediatric practices in Monroe County, New York.
    • Data collected over 220 practice days in 1977 included 4,151 patient visits.
    • Instances of potential bacteremia in infants were identified and counted.

    Main Results:

    • 145 instances of potential bacteremia were identified during the study period.

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  • Practitioners may encounter infants at risk for bacteremia as often as daily, depending on the season.
  • This highlights a common diagnostic and management challenge in pediatric primary care.

    • Conclusions:

    • Pediatricians frequently face clinical scenarios requiring evaluation for bacteremia in young children.
    • The need for readily available laboratory methods for risk assessment and rapid diagnosis of bacteremia is emphasized.
    • Improved diagnostic capabilities are crucial for timely and effective management of bacteremia in infants.