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Age- and sex-specif...
Age- and sex-specific prevalence of serious bacterial infections in febrile infants <= 60 days, in Sweden
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- Orfanos, Ioannis (författare)
- Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Alfvén, Tobias (författare)
- Karolinska Institutet,Karolinska Institute,Sachs’ Children and Youth Hospital
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- Mossberg, Maria (författare)
- Lund University,Lunds universitet,Barninfektioner och global barn- och ungdomshälsa,Forskargrupper vid Lunds universitet,Pediatrik infectious diseases and global child health,Lund University Research Groups,Skåne University Hospital
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- Tenland, M. (författare)
- Karolinska Institute
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- Sotoca Fernandez, Jorge (författare)
- Skåne University Hospital
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- Eklund, Erik A. (författare)
- Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Elfving, Kristina (författare)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institutionen för vårdvetenskap och hälsa,Institute of Clinical Sciences, Department of Pediatrics,Institute of Health and Care Sciences,Sahlgrenska Academy
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(creator_code:org_t)
- 2021-07-27
- 2021
- Engelska.
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 110:11, s. 3069-3076
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Abstract
Ämnesord
Stäng
- Aim The aim of the study was to describe age- and sex-specific prevalence of serious bacterial infections (SBI: urinary tract infection, bacteraemia, meningitis) among febrile infants <= 60 days in Sweden. Methods This is a retrospective study in 4 Pediatric Emergency Departments from 2014 to 2017, in previously healthy, full-term infants <= 60 days with fever without a source. Results Of the 1,701 included infants, 214 (12.6%; 95% CI, 11.1-14.3) had an SBI. Urinary tract infection (UTI) was diagnosed in 196 (11.5%; 95% CI, 10.0-13.1) patients. In the <= 28 and 29-60 days age-groups, meningitis prevalence was 0.9% (95% CI, 0.3-2.0) and 0.3% (95% CI, 0.1-0.8), whereas bacteraemia prevalence was 3.2% (95% CI, 1.9-4.9) and 0.6% (95% CI, 0.2-1.3). The SBI prevalence was higher in boys 16.0% (95% CI, 13.8-18.5) than girls 8.0% (95% CI, 6.2-10.2; p<0.001), due to 2-fold higher UTI risk. The prevalence of meningitis in boys was 0.3% (95% CI, 0.1- 0.9) vs. 0.7% (95% CI, 0.2-1.6) in girls and of bacteraemia 1.8% (95% CI, 1.0-2.8) vs. 1.0% (95% CI, 0.4-2.0), respectively. Conclusions The total SBI prevalence was 12.6%, and UTI represented the vast majority. The prevalence of bacteraemia and meningitis was low, particularly in the 29-60 days age group, without significant difference between boys and girls.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- febrile infant
- meningitis
- prevalence
- serious bacterial infection
- sex
- differences
- management
- hospitalization
- association
- childhood
- mortality
- fever
- risk
- Pediatrics
- sex differences
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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