2022
DOI: 10.1097/pec.0000000000002864
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Immunization Status and the Management of Febrile Children in the Pediatric Emergency Department

Abstract: Objectives: Widespread Haemophilus influenzae and Streptococcus pneumoniae immunization has decreased occult bacteremia and bacterial meningitis rates. Practice has evolved in pediatric emergency departments (PEDs) to favor fewer diagnostic tests for and empiric treatment of invasive bacterial infection. We lack evidence-based guidance on evaluation and treatment of unimmunized (UnI) or underimmunized (UnderI) febrile children. This study aims to determine how parental report of immunization status in febrile … Show more

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Cited by 3 publications
(1 citation statement)
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“…All of these were poorly documented in the admission and inpatient medical notes in contrast to documentation of infant immunisations, which was almost always complete. Having incomplete or absent primary childhood vaccination details can lead to additional investigations on presentation to a paediatric ED (45). Clinicians and nursing staff may be more primed to ask about primary childhood vaccines, while in uenza and COVID-19 vaccine status could have seemed incidental as they were currently additional or optional vaccine programmes at the time.…”
Section: Discussionmentioning
confidence: 99%
“…All of these were poorly documented in the admission and inpatient medical notes in contrast to documentation of infant immunisations, which was almost always complete. Having incomplete or absent primary childhood vaccination details can lead to additional investigations on presentation to a paediatric ED (45). Clinicians and nursing staff may be more primed to ask about primary childhood vaccines, while in uenza and COVID-19 vaccine status could have seemed incidental as they were currently additional or optional vaccine programmes at the time.…”
Section: Discussionmentioning
confidence: 99%