流感病毒感染与发热幼婴的严重细菌感染风险.pdf

论著 流感病毒感染与发热幼婴的严重细菌感染风险 William I. Krief, MDa, Deborah A. Levine, MDb, Shari L. Platt, MDc,d, Charles G. Macias, MD, MPHe, Peter S. Dayan, MD, MScc, Joseph J. Zorc, MDf,g, Nancy Feffermann, MDh, Nathan Kuppermann, MD, MPHi for the Multicenter RSV-SBI Study Group of the Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics aDepartments of Pediatrics and Emergency Medicine, Long Island Jewish Hospital / Schneider Children’ s Hospital, New Hyde Park, New York; Departments of bPediatrics and Emergency Medicine; hRadiology, New York University School of Medicine / Bellevue Hospital Center, New York, New York; cDepartments of Pediatrics and Emergency Medicine, Children’ s Hospital of New York Presbyterian, New York, New York; dDepartment of Emergency Medicine, New York Presbyterian Hospital / Weill Cornell Medical Center, New York, New York; eSection of Emergency Medicine, Department of Pediatrics, Baylor College of Medicine, Texas Children’ s Hospital, Houston, Texas; fDepartment of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania; gDivision of Emergency Medicine, Children’ s Hospital of Philadelphia, Philadelphia, Pennsylvania; iDepartments of Emergency Medicine and Pediatrics, University of California, Davis School of Medicine, Davis, California 摘要 目的 我们的研究目的是确定流感病毒感染的发热患儿发生严重细 菌感染 (SBI) 的风险， 并与未感染流感病毒的发热患儿进行比较。 关键词 方法 我们在连续3个流感季节里开展了一项多中心的前瞻性横断 发热 (fever); 婴儿 (infants); 流感病毒 面研究。 1998 － 2001 年的 10 月至 3 月期间， 在 5 间参与本研究 (influenza virus); 严重细菌感染 (serious bacterial infection); 菌血症 (bacteremia); 的儿科急诊室内被诊断为发热的所有日龄 ≤60 d的幼婴均为合格入 尿路感染