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Is Fever a Red Flag for Bacterial Pneumonia in Children With Viral Bronchiolitis?
| Content Provider | SAGE Publishing |
|---|---|
| Author | Elmore, Dominique Yaslam, Balfaqih Putty, Krista Magrane, Thomas Abadir, Anthony Bhatt, Saloni Frazier, Marie Flesher, Susan |
| Copyright Year | 2019 |
| Abstract | We hypothesized that fever in children with viral bronchiolitis indicates the need for consideration of superimposed bacterial pneumonia. We conducted a retrospective study of 349 children aged 2 years and younger with diagnoses of respiratory syncytial virus (RSV) and viral upper respiratory infection. Data were analyzed using Pearson χ2 test. One hundred seventy-eight children had RSV with no other identified virus. The majority of children (56%) who had only RSV were afebrile. Febrile children with RSV were over twice as likely to be diagnosed with bacterial pneumonia as those who were afebrile (60% vs 27%, P < .001). In the 171 children who had bronchiolitis caused by a virus other than RSV, 51% were afebrile. These children were 8 times more likely to be diagnosed with pneumonia than those who were afebrile (65% vs 8%, P < .001). Evaluation of febrile children with viral bronchiolitis may allow early diagnosis and treatment of secondary bacterial pneumonia. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/2333794X19868660?download=true |
| ISSN | 2333794X |
| Volume Number | 6 |
| Journal | Global Pediatric Health (GPH) |
| e-ISSN | 2333794X |
| DOI | 10.1177/2333794X19868660 |
| Language | English |
| Publisher | Sage Publications CA |
| Publisher Date | 2019-08-06 |
| Publisher Place | Los Angeles |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2019 |
| Subject Keyword | pediatric infections fever RSV bronchiolitis bacterial pneumonia |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics Pediatrics, Perinatology and Child Health |
