Clinical presentation of Febrile Syndrome Without Apparent Focus and bacterial infection suspicion in children between 6 weeks and 36 months-old
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Keywords

Febrile Syndrome
Fever
Antibiotics
CRP
ANC
Urinary Tract Infection
Infectious Disease
Fever of Unknown Origin

How to Cite

1.
Ibarra G. X, Viviani S. T, Peña D. AM, Cerda L. J. Clinical presentation of Febrile Syndrome Without Apparent Focus and bacterial infection suspicion in children between 6 weeks and 36 months-old. Andes pediatr [Internet]. 2008 Jul. 20 [cited 2025 Oct. 22];79(4):388-92. Available from: https://andespediatrica.cl/index.php/rchped/article/view/2443

Abstract

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.

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