Resumo

DIAZ ALVAREZ, Manuel; MORENO VAZQUEZ, Olimpo; FERNANDEZ DE LA PAZ, María Teresa  e  MARTINEZ CANALEJO, Humberto. Eficacia de la aplicación de criterios de bajo riesgo de infección bacteriana severa en recién nacidos febriles. Rev Cubana Pediatr [online]. 1996, vol.68, n.3, pp. 143-151. ISSN 1561-3119.

229 febrile newborns with no signs of focalization in their initial evaluation were studied. A series of clinical and laboratory data was considered with the aim of assessing their effectiveness as a means of negative prediction of serious bacterial infection (SBI), and of qualifying a group as of low risk serious bacterial infection and comparing these criteria with those of Rochester applied to this same group of patients. The diagnostic evaluation showed a negative predictive value of 98,9 %. With these data it was possible to make an evaluation test which allowed the effective qualification of a group of patients as of low risk serious bacterial infection, taking into account that only a case of SBI was found among them, compared with 40 cases detected in the high risk group. On comparing Rochester's criteria with the ones included in the present paper, a higher balance was obtained for ours.

Palavras-chave : BACTERIAL INFECTION [diagnosis]; INFANT, NEWBORN; FEVER; RISK ASSESSMENT; PREDICTIVE VALUE; RETROSPECTIVE STUDIES.