{"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":"2008-07-29T07:00:00Z","date_accepted":"2008-07-29T07:00:00Z","date_published":"2009-01-27T08:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/16800/galley/8508/download/"}]}