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Current management of occult bacteremia in infants

Overview of attention for article published in Jornal de Pediatria, September 2015
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Title
Current management of occult bacteremia in infants
Published in
Jornal de Pediatria, September 2015
DOI 10.1016/j.jped.2015.06.004
Pubmed ID
Authors

Eduardo Mekitarian Filho, Werther Brunow de Carvalho

Abstract

To summarize the main clinical entities associated with fever without source (FWS) in infants, as well as the clinical management of children with occult bacteremia, emphasizing laboratory tests and empirical antibiotics. A non-systematic review was conducted in the following databases - PubMed, EMBASE, and SciELO, between 2006 and 2015. The prevalence of occult bacteremia has been decreasing dramatically in the past few years, due to conjugated vaccination against Streptococcus pneumoniae and Neisseria meningitidis. Additionally, fewer requests for complete blood count and blood cultures have been made for children older than 3 months presenting with FWS. Urinary tract infection is the most prevalent bacterial infection in children with FWS. Some known algorithms, such as Boston and Rochester, can guide the initial risk stratification for occult bacteremia in febrile infants younger than 3 months. There is no single algorithm to estimate the risk of occult bacteremia in febrile infants, but pediatricians should strongly consider outpatient management in fully vaccinated infants older than 3 months with FWS and good general status. Updated data about the incidence of occult bacteremia in this environment after conjugated vaccination are needed.

X Demographics

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The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 28 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 28 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 5 18%
Student > Bachelor 4 14%
Researcher 2 7%
Professor > Associate Professor 1 4%
Student > Master 1 4%
Other 0 0%
Unknown 15 54%
Readers by discipline Count As %
Medicine and Dentistry 9 32%
Nursing and Health Professions 2 7%
Immunology and Microbiology 1 4%
Unknown 16 57%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 September 2015.
All research outputs
#17,286,645
of 25,374,917 outputs
Outputs from Jornal de Pediatria
#498
of 896 outputs
Outputs of similar age
#166,227
of 277,644 outputs
Outputs of similar age from Jornal de Pediatria
#10
of 13 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 896 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.6. This one is in the 31st percentile – i.e., 31% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 277,644 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 13 others from the same source and published within six weeks on either side of this one. This one is in the 23rd percentile – i.e., 23% of its contemporaries scored the same or lower than it.