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Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

BARRA G, XIMENA; VIVIANI S, TAMARA; PENA D, ANA MARÍA  y  CERDA L, JAIME. Clinical presentation of Febrile Syndrome Without Apparent Focus and bacterial infection suspicion in children between 6 weeks and 36 months-old. Rev. chil. pediatr. [online]. 2008, vol.79, n.4, pp.388-392. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062008000400006.

Background: Unknown fever (UF) is a frequent pathology in children and its main etiology are viral infections. The identification of bacterial infection with antibiotics requirements is still on debate. Objective: Determine the characteristics of patients with suspicion of an invasive bacterial infection (IBI) and evalúate the contribution of C reactive protein (CRP) and leukocytes with absolute neutrophyl count (ANC). Method: Prospective-descriptive study of 640 patients between 6 weeks and 36 months-old, with UF and IBI suspicion, admitted in Infectology from the Emergency Room of Hospital Sótero del Río between 2005 - 2007. Results: 53,7% of cases had a confirmed IBI, most commonly urinary tract infection (80,17%). A significantly difference was found between CRP, leukocytes and ANC, but the Roe curve did not show a relevant difference. It was not possible to determine a specific level of CRP, leukocytes and ANC for a better IBI discrimination

Palabras clave : Febrile syndrome; fever; antibiotics; CRP; ANC; urinary tract infection.

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