A Promising Clinical Score for Identifying Low-Risk Febrile Infants in the ED

A score that includes age, highest temperature recorded in the ED, urinalysis, and absolute neutrophil count was highly sensitive for identifying infants with low probability of invasive bacterial infection.

Most prediction models for identifying febrile infants at risk for serious bacterial infection at the time of emergency department (ED) presentation are outdated, not based on epidemiological data, or include biomarkers such as procalcitonin that are not widely available in acute care settings.

Researchers derived and internally validated a new prediction model in a case-control study of infants (≤60 days old) who presented to 1 of 11 EDs with fever (rectal temperature ≥38.0°C) measured at home, in the clinic, or in the ED between 2011 and 2016. The study included 181 patients with invasive bacterial infection (IBI; defined as positive blood or cerebrospinal fluid cultures excluding contaminants) and 362 controls. Patients who were ill-appea…

Reviewing Author

Jean Sun Scofi, MD

Disclosures

Editorial BoardsAcademic Life in Emergency Medicine

Leadership Positions in Professional SocietiesSociety for Academic Emergency Medicine (Chair of the IGNITE! Subcommittee)

Jean Sun Scofi, MD

Disclosures

Editorial BoardsAcademic Life in Emergency Medicine

Leadership Positions in Professional SocietiesSociety for Academic Emergency Medicine (Chair of the IGNITE! Subcommittee)

A Promising Clinical Score for Identifying Low-Risk Febrile Infants in the ED

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Reviewing Author