Abstract

ALVAREZ RODRIGUEZ, Alicia; ORTIZ SILVA, Orlando  and  HERNANDEZ MARTINEZ, Noelvis. Validación de nuevos parámetros predictivos de infecciones bacterianas severas en niños febriles menores de 36 meses de edad. Rev Cubana Pediatr [online]. 1999, vol.71, n.4, pp. 197-204. ISSN 1561-3119.

A descriptive-prospective research study was carried out to validate our risk criteria in the identification of severe bacterial infection in febrile young children. For this purpose, risk categories were set and applied in 215 febrile children who had been admitted in a period of 12 months. 54.9 % of febrile children were at low risk for serious bacterial infections whereas 71.6 % presented no risk at all. Nevertheless, the frequency of this affection was high, accounting for 28.4 % with predominance of urinary infections. The risk of getting SBI trippled in children who shared toxic look, temperature greater than or equal to 39 °C, Bonadium clinical test higher than 8, cyturia values over or equal to 10 000 cell/mm³, significant differences between risk and SBI categories and the highest frequency of such affection found in toxic children and in children at low risk (92.8 vs 54.3 %). One in every four febrile children had SBI. The Risk category was introduced and an evaluating flow chart is recommended.

Keywords : FEVER OF UNKNOWN ORIGIN [ethiology]; BACTERIAL INFECTIONS [diagnosis].

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