Key Points
Question
Are febrile neonates (in the first month of life) at higher risk for bacteremia and bacterial meningitis than febrile infants in their second month of life?
Findings
This systematic review and meta-analysis including 15 713 culture results from 12 studies found a significant difference in the prevalence of bacteremia (2.9%) and bacterial meningitis (1.2%) in febrile neonates vs the prevalence of bacteremia (1.6%) and bacterial meningitis (0.4%) in febrile infants in their second month of life.
Meaning
Febrile neonates may have roughly twice the rate of bacteremia and meningitis as febrile infants in their second month of life, although overall rates in both groups are low.
Faculty and residents had discordant perceptions of resident autonomy and of faculty support for resident autonomy. When faculty restrict the independence of "passive" residents whose competence they question, residents may receive fewer opportunities for active learning. Strategies that support autonomy, such as scaffolding, may help residents gain confidence and competence, enhance residents' relatedness to team members and supervisors, and help programs adapt to accreditation requirements to foster residents' growth in independence.
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