Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2017 / Cilt: 51 - Sayı: 1

Management of Febrile Neonate

Ateşli yenidoğan bebeklerin yönetimi

Pages
26–31
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Given that the overall prevalence of serious bacterial infection is higher in the neonate, most experts would advocate for a full sepsis evaluation, and hospitalization for giving antibiotics.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The recommended management of febrile neonates, in first 28 days of life is controversial.
📊
Key Findings & Data:Given that the overall prevalence of serious bacterial infection is higher in the neonate, most experts would advocate for a full sepsis evaluation, and hospitalization for giving antibiotics.
💡
Conclusion & Impact:In our review the evidence for diagnostic accuracy of screening methods for identification of serious bacterial infection in febrile neonates will be evaluated
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

The recommended management of febrile neonates, in first 28 days of life is controversial. Given that the overall prevalence of serious bacterial infection is higher in the neonate, most experts would advocate for a full sepsis evaluation, and hospitalization for giving antibiotics. In recent years, opinions have been raised regarding the follow-up without hospitalization and antibiotics or followup even without hospitalization in febrile newborn infants. In our review the evidence for diagnostic accuracy of screening methods for identification of serious bacterial infection in febrile neonates will be evaluated

Özet

Yaşamın ilk 28 günü içerisindeki ateşli yenidoğan bebeklerin önerilen yönetimi tartışmalıdır. Yenidoğan döneminde yüksek oranda ciddi bakteriyel enfeksiyon görülmesi nedeniyle bir çok uzman, bebeklerin sepsis yönünden değerlendirilmesini ve yatırılarak antibiyotik başlanmasını savunmaktadır. Son yıllarda ateşli yenidoğan bebeklerin antibiyotiksiz yatarak izlemi veya yatırılmadan izlemi ile ilgili görüşler ortaya atılmaktadır. Derlememiz; ateşli yenidoğan bebeklerde, ciddi bakteriyel enfeksiyonu tanımlamada kullanılan yöntemlerin güvenilirliği hakkındaki bulguları değerlendirilecektir.

🔖

Cite This Article

BÜLBÜL, A., BAŞ, E. K., USLU, S. (2017). Management of Febrile Neonate. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 51 - Sayı: 1, 26–31. https://ajindex.com/articles/363746

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (3)

  1. Marom R, Sakran W, Antonelli J, Horovitz Y, Zarfin Y, Koren A, et al. Quick identification of febrile neonates with low risk for serious bacterial infection: an observational study. Arch Dis Child Fetal Neonatal Ed 2007; 92: F15-8
  2. Baraff LJ, Bass JW, Fleisher GR, Klein JO, McCracken GH Jr, Powell KR, et al. Practice guideline for the management of infants and children 0 to 36 months of age with fever without source. Agency for Health Care Policy and Research. Ann Emerg Med 1993; 22: 1198-210. [CrossRef] 3. Baker MD, Bell LM, Avner JR. The efficacy of routine outpatient management without antibiotics of fever in selected infants. Pediatrics 1999; 103: 627-31. [CrossRef] 4. Rehm KP. Fever in infants and children. Curr Opin Pediatr 2001; 13: 83-8. [CrossRef] 5. Baskin MN, O’Rourke EJ, Fleisher GR. Outpatient treatment of febrile infants 28 to 89 days of age with intramuscular administration of ceftriaxone. J Pediatr 1992; 120: 22-7. [CrossRef] 6. Dagan R, Powell KR, Hall CB, Menegus MA. Identification of infants unlikely to have serious bacterial infection although hospitalized for suspected sepsis. J Pediatr 1985; 107: 855-60. [CrossRef] 7. Jaskiewicz JA, McCarthy CA, Richardson AC, White KC, Fisher DJ, Dagan R, et al. Febrile infants at low risk for serious bacterial infection--anappraisal of the Rochester criteria and implications for management. Febrile Infant Collaborative Study Group. Pediatrics 1994; 94: 390-6
  3. Baker MD, Bell LM, Avner JR. Outpatient management without antibiotics of fever in selected infants. N Engl J Med 1993; 329: 1437-41. [CrossRef] 9. Jain S, Cheng J, Alpern ER, Thurm C, Schroeder L, Black K, et al. Management of febrile neonates in US pediatric emergency departments. Pediatrics 2014; 133: 187-95. [CrossRef] 10. Chiu CH, Lin TY, Bullard MJ. Identification of febrile neonates unlikely to have bacterial infections. Pediatr Infect Dis J 1997; 16: 59-63. [CrossRef] 11. Schwartz S, Raveh D, Toker O, Segal G, Godovitch N, Schlesinger Y. A week-by-week analysis of the low-risk criteria for serious bacterial infection in febrile neonates. Arch Dis Child 2009; 94: 287-92. [CrossRef] 12. Bilavsky E, Yarden-Bilavsky H, Amir J, Ashkenazi S. Should complete blood count be part of the evaluation of febrile infants aged ≤2 months? Acta Paediatr 2010; 99: 1380-4. [CrossRef] 13. Bressan S, Andreola B, Cattelan F, Zangardi T, Perilongo G, Da Dalt L. Predicting severe bacterial infections in well-appearing febrile neonates: laboratory mark