Chang Gung University College of Medicine Reports Findings in Bacterial Infections and Mycoses (Serious bacterial infections in young children with fever without source after discharge from emergency department: A National Health Insurance …): Bacterial Infections and Mycoses

2022 AUG 05 (NewsRx) -- By a News Reporter-Staff News Editor at Health & Medicine Business Daily -- New research on Bacterial Infections and Mycoses is the subject of a report. According to news reporting originating from Taoyuan, Taiwan, by NewsRx correspondents, research stated, “Well-appearing febrile young children discharged from the emergency department (ED) after medical assessment are still at risk for serious bacterial infections (SBI). The incidence of SBI and the effectiveness of laboratory tests in the pneumococcal conjugate vaccine era remain unknown.”

Financial supporters for this research include Chang Gung University, Chang Gung Memorial Hospital.

Our news editors obtained a quote from the research from the Chang Gung University College of Medicine, “We conducted a study using Taiwan’s National Health Insurance claims data from 2004 to 2014. Children aged 2-24 months discharged from the ED with a diagnosis compatible with fever without source (FWS) were enrolled. The study identified 431,884 children from the ED with FWS. 13.53% of the children had revisits, 8.62% needed hospitalization and 1.57% developed SBI. Younger children had a higher SBI rate, but a lower revisit rate. The revisit rate was 12.22% for children aged 2-6 months, 13.61% for children aged 7-12 months and 13.77% for children aged 13-24 months (p < 0.0001). The SBI rate was 4.44% for children aged 2-6 months, 1.85% for children aged 2-6 months and 0.96% for children aged 13-24 months (p < 0.0001). Children with hemogram tests, compared to those without, had a higher revisit rate (16.30% vs. 13.15%, p< 0.0001), and a higher SBI rate in the children aged 13-24 months (1.30% vs. 0.92%, p< 0.0001); furthermore, children with urinalysis had a significantly higher revisit rate (14.42% vs. 13.24%, p< 0.0001) and higher SBI rate (2.10% vs. 1.40%, p< 0.0001).”

According to the news editors, the research concluded: “Children with FWS aged 2-24 months who were discharged from ED after blood test and urinalysis were still at risk for SBI, especially those aged 2-6 months.”

This research has been peer-reviewed.

For more information on this research see: Serious bacterial infections in young children with fever without source after discharge from emergency department: A National Health Insurance database cohort study. Pediatrics & Neonatology, 2022. Pediatrics & Neonatology can be contacted at: Elsevier Taiwan, Rm N-412, 4F, Chia Hsin Building 11, No 96, Zhong Shan N Road Sec 2, Taipei, 10449, Taiwan.

The news editors report that additional information may be obtained by contacting Jur-Shan Cheng, Clinical Informatics and Medical Statistics Research Center, Chang Gung University College of Medicine, Taoyuan, Taiwan. Additional authors for this research include Chien-Chung Lee, Yi-Jung Chang, Yi-Chia Chen, Yi-Chen Hsin and Cheng-Hsun Chiu.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1016/j.pedneo.2022.03.020. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Publisher contact information for the journal Pediatrics & Neonatology is: Elsevier Taiwan, Rm N-412, 4F, Chia Hsin Building 11, No 96, Zhong Shan N Road Sec 2, Taipei, 10449, Taiwan.

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