Incidence of Occult Bacteremia Among Highly Febrile Young Children in the Era of the Pneumococcal Conjugate Vaccine
Author(s) -
Matthew L. Stoll,
Lorry G. Rubin
Publication year - 2004
Publication title -
archives of pediatrics and adolescent medicine
Language(s) - English
Resource type - Journals
eISSN - 1538-3628
pISSN - 1072-4710
DOI - 10.1001/archpedi.158.7.671
Subject(s) - medicine , bacteremia , pneumococcal conjugate vaccine , incidence (geometry) , streptococcus pneumoniae , blood culture , confidence interval , pediatrics , pneumococcal infections , emergency department , occult , cohort , cumulative incidence , white blood cell , pneumococcal vaccine , immunology , antibiotics , pathology , biology , physics , optics , psychiatry , microbiology and biotechnology , alternative medicine
The optimal diagnostic approach to and management of well-appearing, highly febrile young children has been a matter of debate owing to the possibility of clinically inapparent, or occult, bacteremia (OB). The most common causative organism of OB is Streptococcus pneumoniae. Universal immunization with a heptavalent pneumococcal conjugate vaccine (PCV7) has recently been implemented, but there are limited data on the impact of this vaccine on the incidence of OB.
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