Table 2 Variables in the management/results associated with all patients 0–36 months of age presenting to the ED with fever, previously on and off antibiotics
Management & results | All N = 753 | AB- N = 584 | AB+ N = 169 | P-Value |
|---|---|---|---|---|
Any blood work, yes | 359 (47.7) | 263 (45.0) | 96 (56.8) | 0.01 |
Blood WBC, mean(±SD) | 13,468 ± 6363 | 13,324 ± 6318 | 13,865 ± 6502 | 0.48 |
Blood Neutrophils, mean(±SD) | 53.1 ± 17.0 | 52.50 ± 16.93 | 54.58 ± 17.07 | 0.30 |
Blood Bands, mean(±SD) | 0.7 ± 4.3 | 0.86 ± 4.97 | 0.09 ± 0.65 | 0.02 |
Blood lymphocytes, mean(±SD) | 36.0 ± 16.1 | 36.48 ± 16.08 | 34.81 ± 16.24 | 0.39 |
Blood CRP, mean(±SD) | 52.3 ± 68.7 | 52.35 ± 70.21 | 52.03 ± 65.11 | 0.97 |
Bacteremia (n = 156 for blood cultures) | 4 (2.6) | 2 (1.8) | 2 (4.7) | 0.31 |
Any urine test done, yes | 168 (22.3) | 133 (22.8) | 35 (20.7) | 0.57 |
Urine LE -positive | 44 (27.3) | 41 (31.8) | 3 (9.4) | 0.01 |
Urine Nitrites -positive | 16 (9.9) | 15 (11.6) | 1 (3.1) | 0.20 |
Urine bacteria -positive | 29 (19.0) | 25 (20.7) | 4 (12.5) | 0.30 |
Urine WBC -positive | 33 (20.4) | 31 (23.8) | 2 (6.3) | 0.03 |
UTI (n = 156 for urine cultures) | 40 (25.6) | 36 (28.8) | 4 (12.9) | 0.07 |
CXR done, yes | 207 (27.5) | 144 (24.7) | 63 (37.3) | 0.001 |
Positive/probable for pneumonia | 110 (53.1) | 73 (50.7) | 37 (58.7) | 0.25 |
Any CSF tested, yes | 37 (4.9) | 37 (6.3) | 0 (0.0) | 0.001 |
CSF WBC -positive | 7 (25.9) | 7 (25.9) | 0 (0.0) | NA |
CSF culture -positive | 2 (5.9) | 2 (5.9) | 0 (0.0) | NA |
Throat culture done, yes | 59 (7.8) | 39 (6.7) | 20 (11.8) | 0.03 |
Throat culture - positive | 4 (3.0) | 4 (3.5) | 0 (0.0) | 1.00 |
Stool studies, yes | 68 (9.0) | 46 (7.9) | 22 (13.0) | 0.04 |
Stool culture -positive | 1 (5.3) | 1 (5.3) | 0 (0.0) | NA |
Nasopharynx, yes | 94 (16.1) | 94 (16.1) | 0 (0.0) | NA |
RSV -positive | 15 (34.1) | 12 (36.4) | 3 (27.3) | 0.72 |
Flu -positive | 13 (21.3) | 13 (28.3) | 0 (0.0) | 0.03 |
None of the above testing donea | 266 (35.3) | 212 (36.3) | 54 (32.0) | 0.30 |
At least 1 | 487 (64.7) | 372 (63.7) | 115 (68.0) | |
None tested for SBIb | 543 (72.1) | 427 (73.1) | 116 (68.6) | 0.25 |
At least 1 for SBI | 210 (27.9) | 157 (26.9) | 53 (31.4) | |
Fluid bolus 20 ml/Kg, yes | 82 (11.1) | 60 (10.5) | 22 (13.0) | 0.35 |
Admission | 154 (20.5) | 121 (20.7) | 34 (19.5) | 0.74 |