Serial procalcitonin levels to detect bacteremia in febrile neutropenia.

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 pediatrics

authors

Reitman AJ,Pisk RM,Gates JV 3rd,Ozeran JD

doi

10.1177/0009922812460913

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1175-83

issue

12

eissn

0009-9228

issn

1938-2707

pii

0009922812460913

journal_volume

51

pub_type

杂志文章
  • Colors in Disposable Diapers: Addressing Myths.

    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

    authors: Evans EB,Helmes CT,Kirsch T,Ruble KM

    更新日期:2014-08-01 00:00:00

  • Periodic use of inhaled steroids in children with mild persistent asthma: what are pediatricians recommending?

    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

    authors: Sawicki GS,Smith L,Bokhour B,Gay C,Hohman KH,Galbraith AA,Lieu TA

    更新日期:2008-06-01 00:00:00

  • Pediatric imported malaria in New York: delayed diagnosis.

    abstract::The records of 20 children with imported malaria admitted to Kings County Hospital between October 1987 and May 1995 were reviewed. All had a history of recent travel or immigration from a malaria endemic area (West-Africa [16], Central-America [three], and the Caribbean [one]). None of the 10 children with a travel h...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/000992289903800603

    authors: Viani RM,Bromberg K

    更新日期:1999-06-01 00:00:00

  • Clinical Factors Associated With Chest Imaging Findings in Hospitalized Infants With Bronchiolitis.

    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...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922817698802

    authors: Nazif JM,Taragin BH,Azzarone G,Rinke ML,Liewehr S,Choi J,Esteban-Cruciani N

    更新日期:2017-10-01 00:00:00

  • Early prediction of the need for hospitalization in children with acute asthma.

    abstract::We studied 133 asthmatic children in the emergency room who were aged 4 to 17 years and who were not receiving ongoing training in pulmonary function testing, to determine whether spirometry correlated with the outcome of the emergency treatment of the acute attack and with relapse during the next four days. A clinica...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288402300203

    authors: Silver RB,Ginsburg CM

    更新日期:1984-02-01 00:00:00

  • Evaluating Partial Series Childhood Vaccination Services in a Mobile Clinic Setting.

    abstract::This study aims to evaluate the cost-benefit of vaccination services, mostly partial series administration, provided by a mobile clinic program (MCP) in Houston for children of transient and low-income families. The study included 469 patients who visited the mobile clinics on regular service days in 2 study periods i...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922820908586

    authors: Chen W,Misra SM,Zhou F,Sahni LC,Boom JA,Messonnier M

    更新日期:2020-06-01 00:00:00

  • Pulmonary function in older children and young adults with gastroesophageal reflux.

    abstract::A wide variety of types of pulmonary diseases and respiratory symptoms have been associated with gastroesophageal reflux (GER). Asthma, chronic bronchitis, bronchiectasis, and pulmonary fibrosis have all been linked to GER, but causal mechanisms have been difficult to establish. To characterize pulmonary function abno...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288602501101

    authors: Allen JL,Wohl ME

    更新日期:1986-11-01 00:00:00

  • Hospital readmission and morbidity following early newborn discharge.

    abstract::To examine causes of newborn hospital readmission and morbidity related to early nursery discharge, we reviewed the charts of 664 newborns readmitted from home under the age of 15 days, between 1993 and 1995. Early discharge (ED) was defined as nursery length of stay of < or = 2 days. Morbidity related to ED: onset of...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289803701003

    authors: Heimler R,Shekhawat P,Hoffman RG,Chetty VK,Sasidharan P

    更新日期:1998-10-01 00:00:00

  • Corrigendum.

    abstract::Falszewska A, Dziechciarz P, Szajewska H. The diagnostic accuracy of Clinical Dehydration Scale in identifying dehydration in children with acute gastroenteritis: a systematic review. Clin Pediatr (Phila). 2014;53:1181-8. (Original DOI: 10.1177/0009922814538493 ). ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,已发布勘误

    doi:10.1177/0009922817711992

    authors:

    更新日期:2018-01-01 00:00:00

  • Parents' healthy weight perceptions and preferences regarding obesity counseling in preschoolers: pediatricians matter.

    abstract:OBJECTIVE:To compare parental report of child body image with perceived healthy weight body image in preschoolers and describe weight-counseling preferences. METHODS:Parents seeking well-child care were interviewed and asked to select images resembling: (a) their own child's current weight, (b) a healthy weight presch...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922810368288

    authors: Hernandez RG,Cheng TL,Serwint JR

    更新日期:2010-08-01 00:00:00

  • Screening Tool Predicts Future Underimmunization Among a Pediatric Practice in Tennessee.

    abstract::The Parent Attitudes about Childhood Vaccines (PACV) survey for identifying vaccine-hesitant parents was recently validated in Washington State but did not include all recommended childhood vaccines. The current study compares vaccination rates for all recommended childhood vaccines and PACV scores at one pediatric pr...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922815615823

    authors: Williams SE,Morgan A,Opel D,Edwards K,Weinberg S,Rothman R

    更新日期:2016-06-01 00:00:00

  • A Learning Collaborative Approach to Improve Primary Care STI Screening.

    abstract::The Bronx Ongoing Pediatric Screening (BOPS) project sought to improve screening for sexual activity and sexually transmitted infections (gonorrhea and chlamydia [GCC] and HIV) in a primary care network, employing a modified learning collaborative, real-time clinical data feedback to practices, improvement coaching, a...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0009922817733702

    authors: McKee MD,Alderman E,York DV,Blank AE,Briggs RD,Hoidal KES,Kus C,Lechuga C,Mann M,Meissner P,Patel N,Racine AD

    更新日期:2018-07-01 00:00:00

  • Nondyslexic children with combined writing and arithmetic learning disabilities.

    abstract::A common presenting problem of children in pediatric practice is the constellation of symptoms involving difficulty in completing assignments, trouble with written work, and organizational problems. Typically, these children do not have difficulty with reading but show problems with academic achievement. We have recen...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288302200401

    authors: Siegel LS,Feldman W

    更新日期:1983-04-01 00:00:00

  • Long-term prognosis for children with nephrotic syndrome.

    abstract::Follow-up survival and health information were obtained, after a median of 27.5 years, from 132 patients who had been seen originally as children with nephrotic syndrome between 1951 and 1967. Ninety seven patients were alive. Recurring edema or proteinuria, or both, persisted in 15 percent of those still alive. Eight...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288802700201

    authors: Wynn SR,Stickler GB,Burke EC

    更新日期:1988-02-01 00:00:00

  • The Indian experience with hypertrophic pyloric stenosis.

    abstract::A study of 58 consecutive Indian infants operated for congenital hypertrophic pyloric stenosis revealed an accentuated male predominance in the incidence of the disease and far less preoperative hemetemesis as compared to that in their Western counterparts. 'Pyloric tumor' was palpable in 89% of cases. Only 34.5% of t...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289002901002

    authors: Sharma M,Jain SK,Pathania OP,Taneja SB

    更新日期:1990-10-01 00:00:00

  • Pseudocyesis in an adolescent patient. Case report and radiologic analysis.

    abstract::The physical and psychological changes of pseudocyesis have bewildered physicians since the time of Hippocrates. We present the case of a 14-year-old girl as a reminder that pseudocyesis needs to be considered in adolescents and that the diagnosis may not be obvious, even with current technologies. We document that ga...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288302201006

    authors: Rosenberg HK,Coleman BG,Croop J,Granowetter L,Evans AE

    更新日期:1983-10-01 00:00:00

  • Hip Dysplasia Is Not More Common in W-Sitters.

    abstract::Parents are frequently cautioned by therapists, teachers, physicians, and online resources about potential negative effects of w-sitting in children (including hip dysplasia), despite lack of evidence. To examine relationships between w-sitting and hip dysplasia, a prospective cohort study was conducted of 104 patient...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922820940810

    authors: Rethlefsen SA,Mueske NM,Nazareth A,Abousamra O,Wren TAL,Kay RM,Goldstein RY

    更新日期:2020-10-01 00:00:00

  • Tioga County Fit for Life: a primary obesity prevention project.

    abstract::Pediatric obesity, which has reached epidemic proportions in the United States in the past 10 years, translates directly into rising rates of adult obesity. This study assessed the impact of a school, family, community, and industry-based primary intervention project on the rates of overweight and obesity in a rural c...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922807299315

    authors: Gombosi RL,Olasin RM,Bittle JL

    更新日期:2007-09-01 00:00:00

  • Gelastic seizures misdiagnosed as gastroesophageal reflux disease.

    abstract::Gastroesophageal reflux disease can have variable manifestations including regurgitation, irritability, arching, choking, and apnea. The disorder is also frequently mistaken for seizures (Sandifer syndrome). We report 6 patients in whom the opposite phenomenon occurred: their seizures were mistaken for gastroesophagea...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922806295400

    authors: Sweetman LL,Ng YT,Kerrigan JF

    更新日期:2007-05-01 00:00:00

  • Managing referrals for children with receptive language delay.

    abstract::This study investigates relations between language and cognitive scores in children with receptive language (RL) delay and suggests guidelines for referral for cognitive testing. This retrospective review of the test scores of 41 children, ages 17 to 76 months (mean = 37.7 months), focuses on examining associations be...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922808323108

    authors: Fagan MK,Montgomery TR

    更新日期:2009-01-01 00:00:00

  • Behavioral Treatment for Headaches in Children: A Practical Guide for the Child Psychologist.

    abstract::Headache is a highly prevalent condition and is the leading cause for school absences. Despite the rich literature supporting behavioral treatments for headache, many child psychologists mistakenly perceive that they lack appropriate training to treat children with headache. Likewise, many physicians feel underprepare...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922816638665

    authors: Benore E,Monnin K

    更新日期:2017-01-01 00:00:00

  • Conservative approach to the mediastinitis in childhood secondary to esophageal perforation.

    abstract::The aim of this study was to evaluate the safety and efficacy of nonoperative treatment of esophageal perforation (EP) in children. Between 1999 and 2004, 13 episodes in 12 patients were evaluated. The treatment program consisted of broad-spectrum antibiotics, nasopharyngeal aspiration, parenteral and/or enteral nutri...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280504400204

    authors: Demirbag S,Tiryaki T,Atabek C,Surer I,Ozturk H,Cetinkursun S

    更新日期:2005-03-01 00:00:00

  • First rib fractures in abused infants: a report of three cases.

    abstract::The authors describe 4 first rib fractures in 3 infants, highlighting the difficulty in detecting first rib fractures on skeletal survey. All 4 fractures were the result of physical abuse. A literature search does not find a case of first rib fracture in a healthy infant that is not the result of child abuse. The diag...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811430343

    authors: Melville JD,Lukefahr JL,Clarke EA

    更新日期:2012-05-01 00:00:00

  • Pancreatic heterotopia as a cause of an acute abdomen.

    abstract::A 6-year-old boy with fever, vomiting, abdominal pain, and leucocytosis was found to have a small nodule of heterotopic pancreatic tissue in the wall of the jejunum. Leakage of pancreatic enzymes caused inflammation and hemorrhagic necrosis of adjacent smooth muscle. Excision of the lesion was followed by prompt and p...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288602500913

    authors: Curran JP,Anderson V

    更新日期:1986-09-01 00:00:00

  • Text Message Reminders for Child Influenza Vaccination in the Setting of School-Located Influenza Vaccination: A Randomized Clinical Trial.

    abstract::Half of US school children receive influenza vaccine. In our previous trials, school-located influenza vaccination (SLIV) raised vaccination rates by 5 to 8 percentage points. We assessed whether text message reminders to parents could raise vaccination rates above those observed with SLIV. Within urban elementary sch...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0009922818821878

    authors: Szilagyi PG,Schaffer S,Rand CM,Goldstein NPN,Younge M,Mendoza M,Albertin CS,Concannon C,Graupman E,Hightower AD,Yoo BK,Humiston SG

    更新日期:2019-04-01 00:00:00

  • A critical review of studies of newborn discharge timing.

    abstract::The duration of hospitalization for newborns has declined dramatically, driven by efforts to control health-care costs as well as by efforts to demedicalize childbirth. In order to determine the clinical basis for this practice, the quality of the published literature on discharge timing was analyzed. Thirteen experim...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,meta分析

    doi:10.1177/000992289503401201

    authors: Margolis LH

    更新日期:1995-12-01 00:00:00

  • The Role of Patient Advocacy and the Declining Rate of Clitoroplasty in 46,XX Patients With Congenital Adrenal Hyperplasia.

    abstract::Prior to the 1990s, most 46,XX infants with clitoromegaly secondary to congenital adrenal hyperplasia were treated with feminizing genitoplasty to make their cosmetic appearance congruent with their genotypic sex. A 2006 consensus statement for the management of intersex disorders accepted input from patient advocates...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922818803407

    authors: Schoer MB,Nguyen PN,Merritt DF,Wesevich VG,Hollander AS

    更新日期:2018-12-01 00:00:00

  • Acute mastoiditis in children: epidemiologic, clinical, microbiologic, and therapeutic aspects over past years.

    abstract::Recent studies have indicated possible changes in the incidence of acute mastoiditis. A retrospective review of children discharged with a diagnosis of acute mastoiditis was undertaken to describe the epidemiology, clinical presentation, microbiology, and treatment of acute mastoiditis over past years. Demographic his...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280404300307

    authors: Nussinovitch M,Yoeli R,Elishkevitz K,Varsano I

    更新日期:2004-04-01 00:00:00

  • A simple provider-based educational intervention to boost infant immunization rates: a controlled trial.

    abstract::We sought to determine if a simple educational intervention initiated at the first well-child care visit, with reinforcement at subsequent visits, can improve inner-city infant immunization rates. We conducted a controlled trial involving 315 newborn infants and their primary caregivers in 3 inner-city primary care ce...

    journal_title:Clinical pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1177/000992280104000701

    authors: Stille CJ,Christison-Lagay J,Bernstein BA,Dworkin PH

    更新日期:2001-07-01 00:00:00

  • A technique for placement of a totally implantable central venous port.

    abstract::The use of totally implantable central venous catheters with reservoirs has grown steadily over the past few years. These systems mitigate many of the inherent problems associated with catheter systems that protrude from the skin. Totally implantable systems are easily cared for and permit activities such as swimming....

    journal_title:Clinical pediatrics

    pub_type: 信件

    doi:10.1177/000992289303200515

    authors: Gilchrist BF,Novak Z

    更新日期:1993-05-01 00:00:00