Dr. Rachel Anuradha Sundararaj, DCH*, Dr. Prabhakar D. Moses, MD, FRCP(E)**
Professor and Head of Child Health III, Christian Medical College & Hospital, Vellore DCH *, Professor and Head of Child Health III, Christian Medical College & Hospital, Vellore DCH **
Occult bacteremia is the condition in which bacteremia is identified without clinical evidence of sepsis and no clear foci of infection.
1) To study the prevalence of occult bacteremia among children 3-36 months of age with fever without focus, presenting in the Paediatric Emergency Services of CMC Hospital, Vellore.
2) To study the pattern of causative organisms.
Period: December 1, 2004 - August 31, 2005
Population: Infants 3-36 months of age
- Fever>/= 39oC at presentation
Duration of illness <7 days
Not received antibiotics in the 4 days prior to this visit
Age, sex, Hib vaccine status, temperature at presentation, symptoms, examination findings and investigations recorded and analysed.
- 77 children were studied
Mean age - 19.2 months ; 62.3% males
52 had Hib vaccination
- Mean presenting temperature - 39.3°C
Occult bacteremia Enteric fever
Heat related illness
72 children received empirical antibiotics.
Conclusion: One child's blood culture grew Haemophilus influenza type b. Prevalence of occult bacteremia was 1.3%. Administration of empirical antibiotics may be justified since 20.8% of the diagnoses were of bacterial origin.
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