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{ "pk": 16800, "title": "Incidence of Serious Bacterial Infections in Ex-premature Infants with a Postconceptional Age Less Than 48 Weeks Presenting to a Pediatric Emergency Department", "subtitle": null, "abstract": "Objectives: Premature infants are at higher risk of developing serious bacterial infections (SBI). However, the incidence of SBI in ex-premature infants presenting to the emergency department (ED) remains undetermined. The objective of this study is to examine the incidence of SBI in ex-premature infants with a postconceptional age of less than 48 weeks presenting to a pediatric ED.\n\n\nMethods: A retrospective medical record review was conducted on 141 ex-premature infants with a postconceptional age of less than 48 weeks who had a full or partial septic work up completed in a pediatric ED between January 1, 1998 and March 31, 2005.\n\n\nResults: The overall median gestational age at birth was 35 weeks (IQR 33-36 week) and the overall median postconceptional age at ED presentation was 40 weeks (IQR 37-42 weeks). Thirteen (9.2%) infants were found to have a SBI. Five subjects had pneumonia, four with bacteremia, two with pyelonephritis, and two with a concomitant infection of meningitis/pneumonia and bacteremia/pyelonephritis.\n\n\nConclusion: The results of this study reveal that the incidence of SBI in ex-premature infants with a postconceptional age of less than 48 weeks is similar to in-term infants (9.2%) and is consistent with previously published incidence rates in-term infants (10%).\n\n\n[WestJEM. 2009;10:37-40.]", "language": "en", "license": { "name": "none", "short_name": "none", "text": "", "url": "http://google.com" }, "keywords": [ { "word": "serious bacterial infection" }, { "word": "premature infants" }, { "word": "postconceptional age" }, { "word": "emergency department" } ], "section": "Article", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/2r34r87h", "frozenauthors": [ { "first_name": "Nobuaki", "middle_name": "", "last_name": "Inoue", "name_suffix": "", "institution": "Loma Linda University Medical Center and Children’s Hospital, Department of Emergency Medicine, Division of Pediatric Emergency Medicine", "department": "None" }, { "first_name": "Tommy", "middle_name": "Y.", "last_name": "Kim", "name_suffix": "", "institution": "Loma Linda University Medical Center and Children’s Hospital, Department of Emergency Medicine, Division of Pediatric Emergency Medicine", "department": "None" }, { "first_name": "Anne Marie", "middle_name": "", "last_name": "Birkbeck-Garcia", "name_suffix": "", "institution": "Kaiser Permanente Southern California, Department of Pediatrics", "department": "None" }, { "first_name": "Andrew", "middle_name": "", "last_name": "Givner", "name_suffix": "", "institution": "Desert Regional Medical Center, Department of Emergency Medicine", "department": "None" }, { "first_name": "T. Kent", "middle_name": "", "last_name": "Denmark", "name_suffix": "", "institution": "Loma Linda University Medical Center and Children’s Hospital, Department of Emergency Medicine, Division of Pediatric Emergency Medicine", "department": "None" } ], "date_submitted": "2008-07-29T11:00:00+04:00", "date_accepted": "2008-07-29T11:00:00+04:00", "date_published": "2009-01-27T11:00:00+03:00", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/16800/galley/8508/download/" } ] }