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eMedicine - Bacteremia : Article by Brian J Holland, MD |
 | | Pneumococcal bacteremia is observed in children of all ages; however, children aged 6 months to 2 years are at an increased risk (Swindell, 1993; Kuppermann, 1999; Lee, 1998), and the prevalence of pneumococcal meningitis peaks in infants aged 3-5 months. |
| | The prevalence of occult bacteremia caused by pneumococcus is anticipated to decrease greatly in the near future because of the introduction of the 7-valent conjugate pneumococcal vaccine, which was designed to cover 98% of the strains of S pneumoniae responsible for occult bacteremia (Alpern, 2001). |
| | The sensitivity and specificity of clinical judgment in predicting occult bacteremia and serious bacterial infections have varied greatly in previous studies, with a consensus that clinical judgment is not a reliable indicator of occult bacteremia (Kuppermann, 1999; Baraff and Bass, 1993; Baraff, 1993; Baker, 1999; Bass, 1996). |
| www.emedicine.com /PED/topic196.htm (12309 words) |
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