作者: Frank R. Greer , Mona Ho , Donna Dodson , Reginald C. Tsang
DOI: 10.1016/S0022-3476(81)80459-3
关键词: Blood culture 、 Internal medicine 、 Functional status 、 White blood cell 、 Physical examination 、 Predictive value 、 Wbc count 、 Medicine 、 Bacteremia
摘要: poorly predictive. The WBC count was the least useful finding, with a sensitivity of 36% and predictive value 5%. (4) Use combination findings did not markedly improve analyzed values. (5) A group patients assessed by physicians as having bacteremia (score 5) functional status _> 5, no localized evidence infection, include any bacteremia. This reliably separated from rest (p < 0.02), included false negatives i.e., 100% found. These indicate that obtaining blood culture absolute white cell each patient essential for effective diagnosis treatment. Since there are apparent similarities between these those reported others, 1-4 it is recommended physician when evaluating previously healthy child under age 24 months presenting temperature 39.5~ rectal or higher utilize history, including status, physical examinat ion to determine tests needed. study supports notion good history examination components evaluation child. No other procedures should be considered "routine."