Revista Cubana de Pediatría
versão On-line ISSN 1561-3119
DIAZ ALVAREZ, Manuel; MORENO VAZQUEZ, Olimpo; FERNANDEZ DE LA PAZ, María Teresa e MARTINEZ CANALEJO, Humberto. Nuevos criterios de bajo riesgo de infección bacteriana severa en recién nacidos febriles. Rev Cubana Pediatr [online]. 1996, vol.68, n.2, pp. 77-84. ISSN 1561-3119.
229 febrile newborns with no signs of focalization during their initial evaluation were studied. A series of clinical and laboratory data were considered in order to evaluate their effectiveness as a means of negative prediction of serious bacterial infection (SBI) and, this way, to qualify a group as low risk SBI. These criteria were compared to those of Rochester applied to the same group of patients. Diagnostic evaluation showed a negative predictive value of 98.9 %. An evaluation test is made with these data, making possible an efficient qualification of a group of patients as low risk serious bacterial infection on presenting only one case with SBI among them, compared to 40 cases in the high risk group. Comparison between Rochester's criteria and the present paper's ones had a higher balance favorable to ours.
Palavras-chave : FEVER; BACTERIAL INFECTIONS [diagnosis]; PREDICTIVE VALUE; EVALUATION STUDIES; INFANT; NEWBORN.