March 2016. Volume 12. Number 1

En niños con fiebre, la temperatura corporal es un mal predictor de infección bacteriana grave

 
 
 
 
 
 
 
 
 
 
Rating: 0 (0 Votes)
Newsletter Free Subscription
Regularly recieve most recent articles by e-mail
Subscribe
Print
Add to library
Discuss this article

AVC | Critically appraised articles

De S, Williams GJ, Teixeira-Pinto A, Macaskill P, McCaskill M, Isaacs D, et al. Lack of accuracy of body temperature for detecting serious bacterial infection in febrile episodes. Pediatr Infect Dis J. 2015;34:940-4.
Reviewers: Aizpurua Galdeano P1, Gimeno Díaz de Atauri Á2.
1CS Amara Berri. San Sebastián. España.
2Servicio de Pediatría. Hospital 12 de Octubre. Madrid. España.
Correspondence: Pilar Aizpurua Galdeano. Email: 19353pag@gmail.com
Reception date: 15/01/2016
Acceptance date: 04/02/2016
Publication date: 10/02/2016

Abstract

Authors’ conclusions:body temperature is not an accurate marker of serious bacterial infection in febrile children at hospital emergency departments. Younger age and longer duration of illness increase the rule-in potential of temperature but not in a substantial way.

Reviewers’ commentary:body temperature as an isolated marker was not able to discriminate children with serious bacterial infection at a hospital emergency department. In primary care, where pretest probability is lower, results could be even worse. As post-test probability increases with each degree of temperature, it would be interesting to conduct studies to assess if it is worthy to ask for complementary tests in children with fever above certain body temperature.

How to cite this article

Aizpurua Galdeano P, Gimeno Díaz de Atauri A. En niños con fiebre, la temperatura corporal es un mal predictor de infección bacteriana grave. Evid Pediatr. 2016;12:10.

AVC | Critically appraised articles

De S, Williams GJ, Teixeira-Pinto A, Macaskill P, McCaskill M, Isaacs D, et al. Lack of accuracy of body temperature for detecting serious bacterial infection in febrile episodes. Pediatr Infect Dis J. 2015;34:940-4.
Reviewers: Aizpurua Galdeano P1, Gimeno Díaz de Atauri Á2.
1CS Amara Berri. San Sebastián. España.
2Servicio de Pediatría. Hospital 12 de Octubre. Madrid. España.
Correspondence: Pilar Aizpurua Galdeano. Email: 19353pag@gmail.com
Reception date: 15/01/2016
Acceptance date: 04/02/2016
Publication date: 10/02/2016

How to cite this article

Aizpurua Galdeano P, Gimeno Díaz de Atauri A. En niños con fiebre, la temperatura corporal es un mal predictor de infección bacteriana grave. Evid Pediatr. 2016;12:10.

References

  1. Craig JC, Williams GJ, Jones M, Codarini M, Macaskill P, Hayen A, et al. The accuracy of clinical symptoms and signs for the diagnosis of serious bacterial infection in young febrile children: prospective cohort study of 15 781 febrile illnesses. BMJ. 2010;340:c1594.
  2. Thompson M, Van den Bruel A, Verbakel J, Lakhanpaul M, Haj-Hassan T, Stevens R, et al. Systematic review and validation of prediction rules for identifying children with serious infections in emergency departments and urgent-access primary care. Health Technol Assess. 2012;16:1-100.
10/02/2016

Linked Comment