当前位置： SCI文献检索 > ANNALS OF EMERGENCY MEDICINE期刊下所有文献 > Serious bacterial infections in infants who have experienced an apparent life-threatening event.

Serious bacterial infections in infants who have experienced an apparent life-threatening event.

Abstract：

STUDY OBJECTIVE:We determine the incidence of serious bacterial infection in infants presenting to the emergency department (ED) with an apparent life-threatening event. METHODS:This was a prospective cohort study of infants younger than 12 months who were treated at an urban children's hospital ED during 1 year and who met standard criteria for an apparent life-threatening event. Sociodemographic data, presenting features, diagnostic testing, hospital course, and final diagnosis were collected. Follow-up information was obtained 4 weeks after the visit. RESULTS:Of the 198 infants enrolled, 44 (22.2%) had evaluation for serious bacterial infection: urine culture 36 (18%), blood culture 38 (19%) and cerebrospinal fluid culture 18 (9%). No infant (0/198; 95% confidence interval 0% to 1.8%) was found to have bacteremia, urinary tract infection, or bacterial meningitis, which was confirmed at the 4-week interview (99% ascertainment). Two infants were found to have enteroviral meningitis. CONCLUSION:The incidence of serious bacterial infection in this cohort was extremely low. Infants presenting with an apparent life-threatening event need not be subjected to a full serious bacterial infection evaluation routinely.

journal_name

Ann Emerg Med

journal_title

Annals of emergency medicine

authors

Mittal MK,Shofer FS,Baren JM

doi

10.1016/j.annemergmed.2008.12.037

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

523-7

issue

4

eissn

0196-0644

issn

1097-6760

pii

S0196-0644(09)00005-5

journal_volume

54

pub_type

杂志文章

相关文献

ANNALS OF EMERGENCY MEDICINE文献大全
  • Variation in communication loads on clinical staff in the emergency department.

    abstract：STUDY OBJECTIVE:We determine whether there are differences in role-related communication patterns in the emergency department (ED). METHODS:This was an observational study of a metropolitan ED. Four medical officers and 4 nurses were observed for 19 hours and 52 minutes. Communication load was measured by proportion o...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2004.04.006

    authors： Spencer R,Coiera E,Logan P

    更新日期：2004-09-01 00:00:00

  • Shoulder pain and pneumoperitoneum following a diving accident.

    abstract：:We present the case of a diver who experienced the acute onset of shoulder pain after a rapid ascent. It was determined that the patient had decompression sickness ("the bends") of the right shoulder and pulmonary barotrauma resulting in secondary pneumoperitoneum. He underwent decompression, with prompt resolution of...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(87)80240-8

    authors： Schriger DL,Rosenberg G,Wilder RJ

    更新日期：1987-11-01 00:00:00

  • Effect of alcohol on cellular membranes.

    abstract：:Ethanol disrupts the physical structure of cell membranes. The most fluid membranes, including those that are low in cholesterol, are the most easily disordered by ethanol. Although the membrane-disordering effect is small, there is pharmacological, temporal, and genetic evidence that it is important. Animals that are...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,评审

    doi：10.1016/s0196-0644(86)80120-2

    authors： Goldstein DB

    更新日期：1986-09-01 00:00:00

  • Quantifying Patient-Physician Communication and Perceptions of Risk During Admissions for Possible Acute Coronary Syndromes.

    abstract：STUDY OBJECTIVE:Disposition decision for patients with possible acute coronary syndrome in the emergency department (ED) is driven primarily by perception of short-term risks. We sought to evaluate communication between patient and physician about these risks by ascertaining the content of discussions surrounding dispo...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2015.01.027

    authors： Newman DH,Ackerman B,Kraushar ML,Lederhandler MH,Masri A,Starikov A,Tsao DT,Meyers HP,Shah KH

    更新日期：2015-07-01 00:00:00

  • Characteristics of patient care management problems identified in emergency department morbidity and mortality investigations during 15 years.

    abstract：STUDY OBJECTIVE:We describe cases referred for physician review because of concern about quality of patient care and identify factors that contributed to patient care management problems. METHODS:We performed a retrospective review of 636 cases investigated by an emergency department physician review committee at an u...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2007.06.483

    authors： Cosby KS,Roberts R,Palivos L,Ross C,Schaider J,Sherman S,Nasr I,Couture E,Lee M,Schabowski S,Ahmad I,Scott RD 2nd

    更新日期：2008-03-01 00:00:00

  • Extreme hypothermia and ventricular fibrillation.

    abstract：:A 31-year-old white man with a core temperature of 60.8 F (16 C) and ventricular fibrillation was successfullly resuscitated using active core and external rewarming techniques. Rectal temperature at the time of reestablished electromechanical cardiac activity was 68 F (20 C), a temperature previously thought to be in...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(80)80339-8

    authors： DaVee TS,Reineberg EJ

    更新日期：1980-02-01 00:00:00

  • Acoustic otoscopy in the diagnosis of otitis media.

    abstract：:Acoustic otoscopy detects middle ear pathology by measuring the ability of the tympanic membrane to reflect sound. Fluid or thickening of the tympanic membrane increases sound reflection. We conducted a study to compare acoustic otoscopy with pneumatic otoscopy in identifying middle ear pathology in 80 children (160 e...

    journal_title：Annals of emergency medicine

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0196-0644(89)80578-5

    authors： Jehle D,Cottington E

    更新日期：1989-04-01 00:00:00

  • Emergency medicine in the Bahamas.

    abstract：:The Bahamas is an archipelago of 700 islands with the majority of the population concentrated on just 2 islands: New Providence and Grand Bahama. Most emergency medical services are provided by Princess Margaret Hospital and Rand Memorial Hospital located respectively on those 2 islands. A detailed description of the ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1067/mem.2001.118865

    authors： Ezenkwele UA,Burnett-Garraway C,Green GB

    更新日期：2001-12-01 00:00:00

  • Limitation on effectiveness of rapid defibrillation by emergency medical technicians in a rural setting.

    abstract：:First-responding emergency medical technicians (EMTs) trained to defibrillate have been shown to increase survival from prehospital ventricular fibrillation (VF) almost fourfold in Washington's King County. Using Nebraska ambulance rescue run data from 1982 and published information relating ambulance response time to...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(84)80331-5

    authors： Ornato JP,McNeill SE,Craren EJ,Nelson NM

    更新日期：1984-12-01 00:00:00

  • Fatal ascending tonic-clonic seizure syndrome.

    abstract：:A fatal case of ascending tonic-clonic seizure (ATCS) syndrome resulted from the inadvertent, unrecognized use of a hyperosmolar ionic contrast agent during myelography. The patient presented with lower-extremity myoclonic jerking, agitation, hyperthermia, rhabdomyolysis, and disseminated intravascular coagulation. Em...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(98)70045-9

    authors： Dunford J

    更新日期：1998-11-01 00:00:00

  • World Health Assembly Resolution 60.22. [corrected].

    abstract：:The World Health Assembly 2007 Resolution 60.22 tasked the global health community to address the lack of emergency care in low- and middle-income countries. Little progress has yet been made in integrating emergency care into most low- and middle-income-country health systems. At a rural Ugandan district hospital, ho...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2014.01.035

    authors： Hammerstedt H,Maling S,Kasyaba R,Dreifuss B,Chamberlain S,Nelson S,Bisanzo M,Ezati I

    更新日期：2014-11-01 00:00:00

  • Elevated Toxoplasma IgG antibody in patients tested for infectious mononucleosis in an urban emergency department.

    abstract：:There are many infectious causes of fatigue, sore throat, and fever, including mononucleosis and toxoplasmosis. Toxoplasma antibody testing is rarely performed in most emergency departments; as a result, toxoplasmosis is diagnosed infrequently. We obtained Toxoplasma IgG IFA titers on ED patients who had mononucleosis...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(89)80575-x

    authors： Sayre MR,Jehle D

    更新日期：1989-04-01 00:00:00

  • Evaluation of an outbreak of foodborne illness initiated in the emergency department.

    abstract：STUDY OBJECTIVES:For many foodborne outbreaks, the pathogen and food vehicle never are identified. Delayed collection of epidemiologic and microbiologic information may contribute to this. We postulated that collection of this information from ill persons as they presented to the emergency department during a recent ou...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(05)80109-x

    authors： Goodman LJ,Lisowski JM,Harris AA,Kerns EA,Weaver DC,Pannaralla K,Langkop CW,Biek RW

    更新日期：1993-08-01 00:00:00

  • Improved Testing and Design of Intubation Boxes During the COVID-19 Pandemic.

    abstract：STUDY OBJECTIVE:Throughout the coronavirus disease 2019 pandemic, many emergency departments have been using passive protective enclosures ("intubation boxes") during intubation. The effectiveness of these enclosures remains uncertain. We sought to quantify their ability to contain aerosols using industry standard test...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2020.08.033

    authors： Turer DM,Good CH,Schilling BK,Turer RW,Karlowsky NR,Dvoracek LA,Ban H,Chang JS,Rubin JP

    更新日期：2021-01-01 00:00:00

  • Prospective identification and triage of nonemergency patients out of an emergency department: a 5-year study.

    abstract：STUDY OBJECTIVE:To determine whether nonemergency patients can be prospectively identified by triage nurses and safely triaged out of the emergency department without treatment. METHODS:All adult patients (16 years or older) who presented to a university ED were provided an evaluation by a triage nurse. For a patient'...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(95)70327-6

    authors： Derlet RW,Kinser D,Ray L,Hamilton B,McKenzie J

    更新日期：1995-02-01 00:00:00

  • Molecular methods: applications for clinical infectious diseases.

    abstract：:The application of molecular biology to microbiology has led to a surge of new information about most infectious microorganisms, the pathogenesis of the infections they cause, and the specific microbial antigens involved in the immune response to these infections. The simultaneous application of the same techniques to...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,评审

    doi：10.1016/s0196-0644(94)70187-3

    authors： Engleberg NC

    更新日期：1994-09-01 00:00:00

  • An assessment of the incremental value of the ABCD2 score in the emergency department evaluation of transient ischemic attack.

    abstract：STUDY OBJECTIVE:We study the incremental value of the ABCD2 score in predicting short-term risk of ischemic stroke after thorough emergency department (ED) evaluation of transient ischemic attack. METHODS:This was a prospective observational study of consecutive patients presenting to the ED with a transient ischemic ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2010.07.001

    authors： Stead LG,Suravaram S,Bellolio MF,Enduri S,Rabinstein A,Gilmore RM,Bhagra A,Manivannan V,Decker WW

    更新日期：2011-01-01 00:00:00

  • Efficacy of absorption of sublingual and intravenous Cardio-Green.

    abstract：:To simulate the effect of sublingual injections on pediatric patients, open-chested kid goats were injected sublingually or peripherally with Cardio-Green while being supported by internal cardiac massage. Our study demonstrates that there is statistically a ten-fold lower central blood level after sublingual injectio...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(84)80005-0

    authors： Ordog GJ,Wasserberger J,Jones J,Rouzier R,Elstin D,Balasubramaniam S

    更新日期：1984-06-01 00:00:00

  • Impact of Urgent Care Openings on Emergency Department Visits to Two Academic Medical Centers Within an Integrated Health Care System.

    abstract：STUDY OBJECTIVE:The effect of urgent cares on local emergency department (ED) patient volumes is presently unknown. In this paper, we aimed to assess the change in low-acuity ED utilization at 2 academic medical centers in relation to patient proximity to an affiliated urgent care. METHODS:We created a geospatial data...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2019.06.024

    authors： Carlson LC,Raja AS,Dworkis DA,Lee J,Brown DFM,Samuels-Kalow M,Wilson M,Shapiro M,Kim J,Yun BJ

    更新日期：2020-03-01 00:00:00

  • Etomidate for procedural sedation in emergency medicine.

    abstract：STUDY OBJECTIVE:We describe and analyze the effectiveness and safety of etomidate for procedural sedation and evaluate the patient's perspective on effectiveness, side effects, and satisfaction. METHODS:We conducted an observational retrospective study of all patients who received etomidate for procedural sedation ove...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1067/mem.2002.123695

    authors： Vinson DR,Bradbury DR

    更新日期：2002-06-01 00:00:00

  • Controversies in out-of-hospital emergency airway control: esophageal obstruction or endotracheal intubation?

    abstract：:Maintaining an unobstructed airway and providing adequate oxygenation and CO2 elimination, by artificial means if necessary, are among the highest priorities in all life-threatening circumstances. How this goal can best be met in the prehospital setting has become a controversial issue. The esophageal obturator airway...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(84)80434-5

    authors： White RD

    更新日期：1984-09-01 00:00:00

  • Coronary computed tomographic angiography for rapid discharge of low-risk patients with potential acute coronary syndromes.

    abstract：STUDY OBJECTIVE:Coronary computed tomographic (CT) angiography has excellent performance characteristics relative to coronary angiography and exercise or pharmacologic stress testing. We hypothesize that coronary CT angiography can identify a cohort of emergency department (ED) patients with a potential acute coronary ...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2008.09.025

    authors： Hollander JE,Chang AM,Shofer FS,McCusker CM,Baxt WG,Litt HI

    更新日期：2009-03-01 00:00:00

  • Role of emergency medicine residency programs in determining emergency medicine career choice among medical students.

    abstract：STUDY OBJECTIVE:To characterize the role of emergency medicine residency programs in determining emergency medicine career choice among medical students. DESIGN:Observational, cross-sectional, descriptive study. Information on student career choice was obtained through a targeted query of the National Resident Matchin...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(94)70104-0

    authors： Gallagher EJ,Goldfrank LR,Anderson GV Jr,Barsan WG,Levy RC,Sanders AB,Strange GR,Trott AT

    更新日期：1994-05-01 00:00:00

  • Evaluation of a brief intervention in an inner-city emergency department.

    abstract：STUDY OBJECTIVE:This study tests the effect of a brief intervention with emergency department (ED) patients to reduce at-risk drinking. METHODS:We enrolled patients aged 18 years or older who screened positive for at-risk drinking in an urban academic ED and used alternative allocation to assign them to control or int...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.annemergmed.2004.10.014

    authors： Bazargan-Hejazi S,Bing E,Bazargan M,Der-Martirosian C,Hardin E,Bernstein J,Bernstein E

    更新日期：2005-07-01 00:00:00

  • Probabilistic linkage of computerized ambulance and inpatient hospital discharge records: a potential tool for evaluation of emergency medical services.

    abstract：STUDY OBJECTIVES:Emergency medical services (EMS) is an important part of the health care system. The effect of EMS on morbidity, mortality, and costs of illness is difficult to evaluate because hospital information is not available in out-of-hospital databases. We used probabilistic linkage to create such a database f...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1067/mem.2001.115214

    authors： Dean JM,Vernon DD,Cook L,Nechodom P,Reading J,Suruda A

    更新日期：2001-06-01 00:00:00

  • Painless aortic dissection: an unusual cause of syncope.

    abstract：:Presented is a case of syncope as the initial sign of a painless aortic dissection. The patient was stabilized by percutaneous drainage of a hemopericardium, and then underwent angiography and successful operative repair. Although uncommon, painless aortic dissection should be included in the differential diagnosis of...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(84)80528-4

    authors： Kuhlmann TP,Powers RD

    更新日期：1984-07-01 00:00:00

  • Reliability of patient history in determining the possibility of pregnancy.

    abstract：:In an effort to assess the reliability of patient history in excluding pregnancy, we studied the correlation between specific historical factors and the presence of a positive qualitative serum beta-human chorionic gonadotropin assay. Two hundred eight patients were studied, and information was collected prospectively...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/s0196-0644(89)80310-5

    authors： Ramoska EA,Sacchetti AD,Nepp M

    更新日期：1989-01-01 00:00:00

  • Late-onset presentation of ornithine transcarbamylase deficiency in a young woman with hyperammonemic coma.

    abstract：:Ornithine transcarbamylase deficiency (OTCD) is an X-linked inherited disease and the most common inborn error in urea synthesis in human patients. In adult heterozygous patients, OTCD can be responsible for life-threatening hyperammonemic coma. We report the case of a 32-year-old woman admitted to our hospital with s...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1067/mem.2003.6

    authors： Gaspari R,Arcangeli A,Mensi S,Wismayer DS,Tartaglione T,Antuzzi D,Conti G,Proietti R

    更新日期：2003-01-01 00:00:00

  • Implementation of Evidence-Based Practice for Benign Paroxysmal Positional Vertigo in the Emergency Department: A Stepped-Wedge Randomized Trial.

    abstract：STUDY OBJECTIVE:We evaluated a strategy to increase use of the test (Dix-Hallpike's test [DHT]) and treatment (canalith repositioning maneuver [CRM]) for benign paroxysmal positional vertigo in emergency department (ED) dizziness visits. METHODS:We conducted a stepped-wedge randomized trial in 6 EDs. The population wa...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.annemergmed.2019.09.017

    authors： Kerber KA,Damschroder L,McLaughlin T,Brown DL,Burke JF,Telian SA,Tsodikov A,Fagerlin A,An LC,Morgenstern LB,Forman J,Vijan S,Rowell B,Meurer WJ

    更新日期：2020-04-01 00:00:00

  • Graduated driver licensing in Utah: is it effective?

    abstract：STUDY OBJECTIVE:We seek to examine the effectiveness of the graduated driver licensing system in Utah by determining whether crash rates of 16-year-old drivers decreased after graduated driver licensing implementation. METHODS:We studied 16-year-old-driver crashes using statewide motor vehicle crash data probabilistic...

    journal_title：Annals of emergency medicine

    pub_type： 杂志文章

    doi：10.1016/j.annemergmed.2004.10.007

    authors： Hyde LK,Cook LJ,Knight S,Olson LM

    更新日期：2005-02-01 00:00:00