Routine quantitative blood cultures in children with Haemophilus influenzae or Streptococcus pneumoniae bacteremia.

Abstract:

:The potential clinical value of quantitative blood cultures determined by a commercially available lysis-direct plating method was studied in 50 children with either Haemophilus influenzae or Streptococcus pneumoniae bacteremia. The magnitude of bacteremia correlated with the severity of the infection; patients with greater than or equal to 100 colony-forming units per milliliter were significantly more likely to have meningitis (P less than .01, chi 2 = 7.5). On the other hand, all patients with S. pneumoniae bacteremia with colony counts lower than 15 colony-forming units per milliliter had "occult bacteremia" with no focus of infection. The data suggest that patients with higher levels of bacteremia have more severe disease. Quantitative blood culture results may be helpful in identifying which children are at risk for invasive disease.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Bell LM,Alpert G,Campos JM,Plotkin SA

subject

Has Abstract

pub_date

1985-12-01 00:00:00

pages

901-4

issue

6

eissn

0031-4005

issn

1098-4275

journal_volume

76

pub_type

杂志文章
  • Reversible left recurrent laryngeal nerve palsy in pediatric Graves' disease.

    abstract::Vocal cord paralysis associated with goiter usually indicates the presence of a malignancy. Pediatric patients retain significant thymic tissue that regresses only later in life. This thymic tissue can develop significant hyperplasia during an acute autoimmune process. We describe a case of a 17-year-old girl who pres...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-0437

    authors: Chiu HK,Ledbetter D,Richter MW,Iyer RS,Merati AL

    更新日期:2013-12-01 00:00:00

  • A Resident-Led QI Initiative to Improve Pediatric Emergency Department Boarding Times.

    abstract:BACKGROUND:Pediatric emergency department (PED) overcrowding and prolonged boarding times (admission order to PED departure) decrease quality of care. Timely transfer of patients from the PED to inpatient units is a key driver that relieves overcrowding. In 2015, PED boarding time at our hospital was 10% longer than th...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2019-1477

    authors: Kouo T,Kleinman K,Fujii-Rios H,Badaki-Makun O,Kim J,Falco L,Canares TL

    更新日期:2020-06-01 00:00:00

  • Intestinal lesions containing coronavirus-like particles in neonatal necrotizing enterocolitis: an ultrastructural analysis.

    abstract::Since the outbreaks of neonatal necrotizing enterocolitis occurring in maternity hospitals of Paris and suburbs in 1979-1980, it has been possible to examine by light and electron microscopy gut specimens from ten newborns with this illness. Coronavirus-like particles, enclosed in intracytoplasmic vesicles of damaged ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Rousset S,Moscovici O,Lebon P,Barbet JP,Helardot P,Macé B,Bargy F,Le Tan Vinh,Chany C

    更新日期:1984-02-01 00:00:00

  • Use of a telephone nursing line in a pediatric neurology clinic: one approach to the shortage of subspecialists.

    abstract:OBJECTIVE:There are not enough pediatric neurologists to meet the many needs of pediatric neurology patients. The Hospital for Sick Children has responded by expanding the nursing role in the pediatric neurology outpatient clinic. The objective of this study was to examine the use of a telephone nursing line in this ho...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.112.5.1083

    authors: Letourneau MA,MacGregor DL,Dick PT,McCabe EJ,Allen AJ,Chan VW,MacMillan LJ,Golomb MR

    更新日期:2003-11-01 00:00:00

  • Risk-stratified seroprevalence of severe acute respiratory syndrome coronavirus among children in Hong Kong.

    abstract:BACKGROUND:Severe acute respiratory syndrome was relatively mild in children, and the incidence was significantly lower when compared with adults. Although previous seroepidemiological studies demonstrated that asymptomatic infection was uncommon among health care workers and adult contacts of patients with severe acut...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-1476

    authors: Lee PP,Wong WH,Leung GM,Chiu SS,Chan KH,Peiris JS,Lam TH,Lau YL

    更新日期:2006-06-01 00:00:00

  • Exploring emergency contraception knowledge, prescription practices, and barriers to prescription for adolescents in the emergency department.

    abstract:OBJECTIVE:The objective of this study was to assess the proportion of emergency medicine physicians who had prescribed emergency contraception pills to adolescents, to identify potential barriers to emergency contraception pill prescription for adolescents, and to assess physician knowledge of emergency contraception p...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-0193

    authors: Goyal M,Zhao H,Mollen C

    更新日期:2009-03-01 00:00:00

  • Ethnic differences in the link between insulin resistance and elevated ALT.

    abstract:BACKGROUND:Nonalcoholic fatty liver disease (NAFLD) exhibits tight links with insulin resistance (IR) and the metabolic syndrome (MetS), a cluster of cardiovascular risk factors. Compared with non-Hispanic whites, non-Hispanic black adolescents have more IR but a lower prevalence of NAFLD and MetS. Our hypothesis was t...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-3584

    authors: Deboer MD,Wiener RC,Barnes BH,Gurka MJ

    更新日期:2013-09-01 00:00:00

  • The Ethics of Creating a Resource Allocation Strategy During the COVID-19 Pandemic.

    abstract::The coronavirus disease 2019 pandemic has affected nearly every aspect of medicine and raises numerous moral dilemmas for clinicians. Foremost of these quandaries is how to delineate and implement crisis standards of care and, specifically, how to consider how health care resources should be distributed in times of sh...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2020-1243

    authors: Laventhal N,Basak R,Dell ML,Diekema D,Elster N,Geis G,Mercurio M,Opel D,Shalowitz D,Statter M,Macauley R

    更新日期:2020-07-01 00:00:00

  • The Use of Pyridostigmine in a Child With Chronic Intestinal Pseudo-Obstruction.

    abstract::Chronic intestinal pseudo-obstruction is a rare disorder that affects the motility of the gastrointestinal tract. It results in acute or subacute intestinal obstruction symptoms in the absence of mechanical lesion. It can lead to intestinal failure in children with significant strain on nutrition, growth, and developm...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-0007

    authors: Choudhury A,Rahyead A,Kammermeier J,Mutalib M

    更新日期:2018-04-01 00:00:00

  • Age Legislation and Off-Road Vehicle Injuries in Children.

    abstract:BACKGROUND AND OBJECTIVES:In 2010, the Massachusetts Legislature passed a comprehensive law that restricted off-road vehicle (ORV) use by children <14 years old and regulated ORV use by children up to the age of 18 years. We aimed to examine the impact of the 2010 Massachusetts law on the rates of ORV-related injuries....

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-1164

    authors: Flaherty MR,Raybould T,Kelleher CM,Seethala R,Lee J,Kaafarani HMA,Masiakos PT

    更新日期:2017-10-01 00:00:00

  • Epidemiologic features of Kawasaki disease in Taiwan, 1996-2002.

    abstract:OBJECTIVE:Kawasaki disease (KD) is the most common acquired heart disease in children worldwide. The incidence of KD varies among different countries, with Asian countries supposedly having higher incidences than Western countries. However, the incidence of KD in Taiwan has not been well investigated. METHODS:Since th...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-0726

    authors: Chang LY,Chang IS,Lu CY,Chiang BL,Lee CY,Chen PJ,Wang JT,Ho HN,Chen DS,Huang LM,Kawasaki Disease Research Group.

    更新日期:2004-12-01 00:00:00

  • Corticoresistant nephrotic syndrome associated with T-cell deficiency in two sisters.

    abstract::The coexistence in two sisters, born to related parents, of a corticoresistant nephrotic syndrome, lymphopenia, an immune deficit, short stature, and photophobia is described. The immune deficit is mainly cellular; studies of lymphocyte markers demonstrate a pronounced deficiency of T lymphocytes and Fc-mu receptor-be...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Tabin R,Guignard JP,Gautier E,Dubrit M,Jeannet M,Golaz J,Moretta L

    更新日期:1983-01-01 00:00:00

  • Television-viewing habits and sleep disturbance in school children.

    abstract:OBJECTIVE:To investigate the relationship between specific television-viewing habits and both sleep habits and sleep disturbances in school children. METHODS:The parents of 495 children in grades kindergarten through fourth grade in three public elementary schools completed two retrospective survey questionnaires, one...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.104.3.e27

    authors: Owens J,Maxim R,McGuinn M,Nobile C,Msall M,Alario A

    更新日期:1999-09-01 00:00:00

  • Blood pressure at 6 years of age after prenatal exposure to betamethasone: follow-up results of a randomized, controlled trial.

    abstract:OBJECTIVE:To determine whether prenatal exposure to betamethasone for the prevention of neonatal respiratory distress syndrome (RDS) alters blood pressure in childhood. DESIGN:Prospective follow-up study of a randomized, double-blind, placebo-controlled trial. SETTING:National Women's Hospital (Auckland, New Zealand)...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1542/peds.2004-0196

    authors: Dalziel SR,Liang A,Parag V,Rodgers A,Harding JE

    更新日期:2004-09-01 00:00:00

  • Daytime television viewing by hospitalized children.

    abstract::To determine whether hospitalized pediatric patients may be inadvertently exposed to excessive amounts of commercial television, a survey of the quantity and quality of daytime television viewing by patients was conducted at the Winnipeg Children's Centre. Television viewing patterns were recorded for 845 patients, ea...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Guttentag DN,Albritton WL,Kettner RB

    更新日期:1981-11-01 00:00:00

  • Effects of polycythemia and hyperviscosity on cutaneous blood flow and transcutaneous PO2 and PCO2 in the neonate.

    abstract::Neonatal hyperviscosity syndrome is known to affect multiple organ systems. The effects of polycythemic hyperviscosity on cutaneous blood flow and transcutaneous PO2 and PCO2 were compared in ten term infants prior to and following correction of the hyperviscous state. Cutaneous blood flow was measured by the heat cle...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Waffarn F,Tolle CD,Huxtable RF

    更新日期:1984-09-01 00:00:00

  • Transmission of hepatitis B virus infection by asymptomatic chronic HBsAg carrier mothers.

    abstract::The courses of 18 children born to 13 chronic hepatitis B surface antigen (HBsAg) carrier mothers were followed prospectively for serological and biochemical evidence of type B hepatitis. Three children developed transient HBsAg positivity accompanied by the appearance of antibody to the hepatitis B core antigen. Two ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Papaevangelou G,Hoofnagle JH

    更新日期:1979-04-01 00:00:00

  • Practice of feeding premasticated food to infants: a potential risk factor for HIV transmission.

    abstract:OBJECTIVES:Although some caregivers are known to premasticate food for infants, usually during the weaning period, HIV transmission has not been linked to this practice. We describe 3 cases of HIV transmission in the United States possibly related to this practice. PATIENTS AND METHODS:Three cases of HIV infection wer...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-3614

    authors: Gaur AH,Dominguez KL,Kalish ML,Rivera-Hernandez D,Donohoe M,Brooks JT,Mitchell CD

    更新日期:2009-08-01 00:00:00

  • Long-term subcutaneous protein C replacement in neonatal severe protein C deficiency.

    abstract::We describe here the case of a boy who presented 2 days after birth with purpura fulminans on his feet and scalp. Laboratory investigations revealed signs of disseminated intravascular coagulation. An underlying coagulation disorder was suspected, and therapy with recombinant tissue plasminogen activator, fresh-frozen...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2009-2913

    authors: de Kort EH,Vrancken SL,van Heijst AF,Binkhorst M,Cuppen MP,Brons PP

    更新日期:2011-05-01 00:00:00

  • The Cockayne syndrome: an evaluation of hypertension and studies of renal pathology.

    abstract::Three children with renal disease, hypertension, and the Cockayne syndrome were evaluated. All patients had severe hypertension; peripheral vein renin was elevated in two patients. Renal biopsy specimens from two patients were studied by light microscopy, electron microscopy, and immunofluoresence. Immunohistologic st...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Higginbottom MC,Griswold WR,Jones KL,Vasquez MD,Mendoza SA,Wilson CB

    更新日期:1979-12-01 00:00:00

  • Functional gastrointestinal disorders in children: an Italian prospective survey.

    abstract:OBJECTIVES:To assess the prevalence and natural history of functional gastrointestinal disorders (FGIDs) in children using the Rome Criteria. METHODS:Thirteen primary care pediatricians were randomly selected from the Campania region of the Italian National Health Service. Each pediatrician completed a detailed FGID q...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.114.1.73

    authors: Miele E,Simeone D,Marino A,Greco L,Auricchio R,Novek SJ,Staiano A

    更新日期:2004-07-01 00:00:00

  • Improving the quality of discharge communication with an educational intervention.

    abstract:BACKGROUND:Communication between hospital providers and primary care physicians at the time of hospital discharge is necessary for optimal patient care and safety. Content of the inpatient discharge summary (DS) is not uniformly addressed by residency programs. OBJECTIVE:To improve DSs quality through a brief educatio...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-0884

    authors: Key-Solle M,Paulk E,Bradford K,Skinner AC,Lewis MC,Shomaker K

    更新日期:2010-10-01 00:00:00

  • Free Tax Services in Pediatric Clinics.

    abstract:OBJECTIVES:The earned income tax credit (EITC), refundable monies for America's working poor, is associated with improved child health. Yet, 20% of eligible families do not receive it. We provided free tax preparation services in clinics serving low-income families and assessed use, financial impact, and accuracy. MET...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-3608

    authors: Marcil LE,Hole MK,Wenren LM,Schuler MS,Zuckerman BS,Vinci RJ

    更新日期:2018-06-01 00:00:00

  • A new framework for quality partnerships in Children's Hospitals.

    abstract::Children's hospitals and their affiliated departments of pediatrics often pursue separate programs in quality and safety; by integrating these programs, they can accelerate progress. Hospital executives and pediatric department chairs from 14 children's hospitals have been exploring practical approaches for integratin...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2010-1409

    authors: Levy FH,Brilli RJ,First LR,Hyman D,Kohrt AE,Ludwig S,Miles PV,Saffer M

    更新日期:2011-06-01 00:00:00

  • Should central venous catheters be removed as soon as candidemia is detected in neonates?

    abstract:BACKGROUND:Controversy exists regarding the most appropriate acute management of central venous catheters (CVCs) in neonates with candidemia, with up to two thirds of neonatologists preferring to attempt antifungal therapy without removing CVCs. OBJECTIVE:To determine whether CVCs should be removed as soon as candidem...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.106.5.e63

    authors: Karlowicz MG,Hashimoto LN,Kelly RE Jr,Buescher ES

    更新日期:2000-11-01 00:00:00

  • Gaucher's disease and fatal hepatic fibrosis despite prolonged enzyme replacement therapy.

    abstract::We report on the case of a girl with type 1 Gaucher's disease, treated from age 9 to 15 with high-dose enzyme replacement therapy. This treatment did not avert the development of an extensive mutilating hepatic fibrosis warranting a liver transplantation, which was followed by death. In some cases of Gaucher's disease...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.109.6.1170

    authors: Perel Y,Bioulac-Sage P,Chateil JF,Trillaud H,Carles J,Lamireau T,Guillard JM

    更新日期:2002-06-01 00:00:00

  • Addressing parents' concerns: do vaccines cause allergic or autoimmune diseases?

    abstract::Anecdotal case reports and uncontrolled observational studies in the medical literature claim that vaccines cause chronic diseases such as asthma, multiple sclerosis, chronic arthritis, and diabetes. Several biological mechanisms have been proposed to explain how vaccines might cause allergic or autoimmune diseases. F...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.111.3.653

    authors: Offit PA,Hackett CJ

    更新日期:2003-03-01 00:00:00

  • Pediatric lead exposure from imported Indian spices and cultural powders.

    abstract:BACKGROUND:Significant lead poisoning has been associated with imported nonpaint products. OBJECTIVES:To describe cases of pediatric lead intoxication from imported Indian spices and cultural powders, determine lead concentrations in these products, and predict effects of ingestion on pediatric blood lead levels (BLLs...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-1396

    authors: Lin CG,Schaider LA,Brabander DJ,Woolf AD

    更新日期:2010-04-01 00:00:00

  • A cluster of children with seizures caused by camphor poisoning.

    abstract:BACKGROUND:Isolated cases of camphor-induced seizures have been reported in young children after gastrointestinal, dermal, and inhalation exposure. In 1982, after a series of unintentional ingestions of camphor products, the US Food and Drug Administration restricted the camphor content to <11% in some products intende...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-2097

    authors: Khine H,Weiss D,Graber N,Hoffman RS,Esteban-Cruciani N,Avner JR

    更新日期:2009-05-01 00:00:00

  • Effects of environmental exposures on the cardiovascular system: prenatal period through adolescence.

    abstract::Exposures to drugs, chemical and biological agents, therapeutic radiation, and other factors before and after birth can lead to pediatric or adult cardiovascular anomalies. Furthermore, nutritional deficiencies in the perinatal period can cause cardiovascular anomalies. These anomalies may affect heart structure, the ...

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    pub_type: 杂志文章,评审

    doi:

    authors: Mone SM,Gillman MW,Miller TL,Herman EH,Lipshultz SE

    更新日期:2004-04-01 00:00:00