Abstract
This prospective cohort study from a pediatric emergency department in Switzerland sought to compare the diagnostic properties of several common laboratory tests to each other and to clinical evaluation in detecting a serious bacterial infection (SBI) in febrile children in the post-pneumococcal vaccination era. There were 328 children aged 1–36 months who had a temperature>38°C enrolled. Sixteen percent of the children had an SBI: 89% had urinary tract infections, 7% had pneumonia, 2% had meningitis, and 2% had occult bacteremia.
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