在患有高烧血症的儿科患者中,存在严重细菌感染的风险
Sofia Rachad1, Dane Nickel2, Fiona Berry1
1Albany Medical College Albany New York USA.
Journal of the American College of Emergency Physicians open
|March 14, 2024
概括
过热症 (高烧) 并不是严重细菌感染 (SBI) 的重要指标,在看起来健康的发烧儿童中. 这项研究没有发现统计联系,这表明临床医生不应该仅仅依靠高烧来诊断该人口中的SBI.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 紧急医疗 紧急医疗
背景情况:
- 从历史上看,儿童的高烧引起了严重细菌感染 (SBI) 的担忧,导致了广泛的测试和抗生素使用.
- 常规儿童疫苗接种显著降低了SBI的发生率.
- 作为SBI的独立风险因素,高烧症在看起来健康的发烧儿童中所起的作用需要重新评估.
研究的目的:
- 调查高烧血和SBI的患病率之间的关联在看起来健康的发烧儿科患者呈现给急诊部 (ED).
- 为了确定高烧血是否可以作为可靠的独立风险因素用于识别SBI在这个特定的患者群体.
主要方法:
- 在2019年1月1日至2019年12月31日的儿科ED中进行了一项横截面研究.
- 包括61天至18岁的发烧患者,不包括最近使用抗生素,近期手术,近期发烧疾病或出现发烧的患者.
- 后勤回归分析被用来评估过热症和SBI之间的关联,控制其他因素.
主要成果:
- 在包括的2565名患者中,5.6%患有SBI.
- 在413名患有高烧热症的患者中,7.5%患有SBI.
- 没有发现过热症与SBI有显著的关联 (调整后的几率比1.40,95% CI 0.92-2.12).
结论:
- 严重的细菌感染并不常见,在看起来健康的发烧儿科患者中.
- 单独的高烧血并不是这个人群中SBI的统计学上显著的预测因素.
- 临床医生应谨慎使用过热症作为独立的风险因素,并考虑进一步研究SBI的综合风险因素.
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