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Updated: Jun 29, 2025

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis

Published on: August 12, 2020

在急诊室最近接种疫苗的发烧婴儿中存在严重的细菌感染风险

Kyla Casey¹, Erin R Reilly¹, Katherine Biggs²

¹Department of Emergency Medicine, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134, United States of America.

The American journal of emergency medicine

|April 7, 2024

概括

最近接种免疫 (RI) 的6-12周的婴儿发烧具有严重细菌感染 (SBI) 的低风险,特别是侵入性细菌感染. 尿路感染仍然是一个问题,需要进行尿液分析和培养.

科学领域:

儿科儿科儿科
传染性疾病传染性疾病
临床实践指南临床实践指南

背景情况:

在免疫接种后,发烧是婴儿常见的担忧.
目前的临床指导方针不包括最近免疫接种 (RI) 的婴儿,这给管理带来了挑战.
评估发烧RI婴儿严重细菌感染 (SBI) 患病率至关重要.

研究的目的:

为了确定SBI在最近免疫 (RI) 发烧的婴儿6至12周的流行率.
为了比较RI婴儿中的SBI率与最近没有免疫接种 (NRI) 的婴儿.

主要方法:

在两个军事学术EDS中,对发烧婴儿 (6-12周) 的回顾性图表审查.
婴儿被归类为RI (72小时内免疫) 或NRI.
主要结局:SBI的流行 (侵入性细菌感染[IBI]和非侵入性细菌感染[非IBI]).

主要成果:

整体SBI患病率为11.4%.
与NRI婴儿 (13.7%) 相比,RI婴儿的SBI患病率较低 (3.5%).
在RI婴儿中SBI的相对风险为0.3;在RI婴儿中没有观察到IBI病例,大多数SBI是尿路感染.

结论:

最近接种免疫 (6-12周) 的婴儿患入侵性细菌感染 (IBI) 的风险很低.
在免疫接种后24小时内,RI婴儿的非侵入性细菌感染显著降低.
尿路感染 (UTI) 是RI婴儿的风险;建议进行尿液分析和培养,以支持共同决策,以减少侵入性护理.

关键词:

细菌病是什么意思细菌病是什么意思细菌感染细菌感染发烧发烧发烧免疫接种免疫接种婴儿婴儿婴儿婴儿婴儿婴儿儿科急诊医学儿科急诊医学

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