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Acta Biomedica Scientia

Volume 4, Issue 3, 2017
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
POST-PNEUMOCOCCAL VACCINE MANAGEMENT OF FEVER BY PEDIATRIC AND GENERAL EMERGENCY PHYSICIANS
Author
Dr. Chenalla Nikhil Laxman
Email
Laxman@gmail.com
keyword
Late, Kidney Transplant, Graft Function, Urine, Neutrophil Gelatinase-Associated Lipocalin
Abstract
Studying the treatment of febrile children by emergency medicine physicians and pediatric emergency medicine physicians was the objective of this study. Methods. Retrospective reviews of ED charts were conducted on febrile children aged 3–36 months, who presented to pediatric EDs or general EDs in large urban centers. An analysis was conducted to collect demographics, immunization statuses, laboratory test results, antibiotic usage, and final diagnoses. Conclusions. 224 cases o f PED and 237 GED were reviewed in our review. As compared to 40 (17%) viral tests performed by PEMPs, 23 (10.3%) CXRs were performed and 51 (21.5%) rapid viral tests performed by PEMPs. Infections caused by viruses were more common among PED patients, while infections caused by bacteria (such as ear infections) were more common among GED patients. GED patients were prescribed more antibiotics (41% versus 27%, P = 0.002), and PED patients were prescribed more oseltamivir (6.7% versus 0.4%, P = 0.001). Conclusions. The PEMPs and GEMPs provide different treatment for young children who appear febrile, which indicates that standardization is necessary
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