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Revista de la Sociedad Boliviana de Pediatría

On-line version ISSN 1024-0675

Abstract

FABIANI HURTADO, Nelly Rocío  and  MEJIA SALAS, Héctor. Fever without source in children under 36 months treated at emergency department of Hospital del Niño "Dr. Ovidio Aliaga Uría ". Rev. bol. ped. [online]. 2014, vol.53, n.1, pp. 3-7. ISSN 1024-0675.

In order to identify the etiology of fever with out source in children treated at emergency department of Hospital del Niño and relate laboratory results obtained with bacterial infection. A prospective observational cohort study was conducted in one hundred patients who attended with fever, and which failed to identify a source of infection. The main results the most common diagnoses were uncomplicated upper respiratory infection and urinary tract infection, 11 patients were classified with severe bacterial infection. The degree of fever greater than 39° and the like lihood of bacterial infection was presented with a RR of 0.8 (95% CI 0.42-1.82). The association of leukocytosis > 15.000/mm3and bacterial infection showed a RR of 3.32 (95% CI 2.06-5.34). Partnering with ANC > 10.000/mm3had an RR of 3.17 (95% CI 2.23-4.49), and band neutrophils > 500/mm3a RR of 2.38 (1.07-3.33 95%). This study ratifies the findings identified in similar studies, found as major predictors of bacterial infection leukocytosis > 15.000/mm3, the ANC > 10.000/mm3 and band neutrophils > 500/mm3.

Keywords : fever without source; bacterial infection.

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