Abstract:
BACKGROUND:Our objective was to evaluate serial procalcitonin (PCT) levels compared with an initial PCT level at admission in predicting bacteremia in pediatric febrile neutropenic oncology patients. PROCEDURE:Serum PCT levels were measured at admission (t0) and within 24 hours of admission (t1) in pediatric oncology patients presenting with fever and neutropenia. A blood culture was collected at t0 and monitored for 5 days for bacterial growth. PCT value of 0.5 ng/mL at either t0 or t1 was considered predictive for bacteremia. RESULTS:PCT levels were significantly higher in children with positive blood cultures than with negative blood cultures. Serial PCT values mirrored t1 values. Serial PCT showed 76% specificity and negative predictive value of 93% in ruling out bacteremia. CONCLUSION:Elevated PCT levels are predictive of bacteremia. Using serial PCT levels within 24 hours allowed a better prediction of bacteremia than the PCT level at t0.
journal_name
Clin Pediatr (Phila)journal_title
Clinical pediatricsauthors
Reitman AJ,Pisk RM,Gates JV 3rd,Ozeran JDdoi
10.1177/0009922812460913subject
Has Abstractpub_date
2012-12-01 00:00:00pages
1175-83issue
12eissn
0009-9228issn
1938-2707pii
0009922812460913journal_volume
51pub_type
杂志文章abstract::Colors are frequently added to disposable diapers to enhance the diapering experience. The colors in the interior of diapers are composed of nonsensitizing pigments that are bound during the fiber-making process into the fibers of the nonwoven that covers the absorbent core materials. In the past, the use of color in ...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922814540379
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abstract::Although asthma treatment guidelines recommend daily inhaled corticosteroid (ICS) use for all persistent asthma, pediatricians may recommend alternative treatment plans for children with mild persistent disease. The authors administered a survey of pediatricians to describe prescribing patterns for mild persistent ast...
journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/0009922807312184
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journal_title:Clinical pediatrics
pub_type: 杂志文章,评审
doi:10.1177/000992289903800603
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abstract::Despite recommendations against routine imaging, chest radiography (CXR) is frequently performed on infants hospitalized for bronchiolitis. We conducted a review of 811 infants hospitalized for bronchiolitis to identify clinical factors associated with imaging findings. CXR was performed on 553 (68%) infants either on...
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journal_title:Clinical pediatrics
pub_type: 杂志文章
doi:10.1177/000992288402300203
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journal_title:Clinical pediatrics
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pub_type: 杂志文章,已发布勘误
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journal_title:Clinical pediatrics
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,meta分析
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