July 2, 2015
The accuracy of an infant’s temperature measured at presentation at the emergency department is not a reliable indicator for severe bacterial infection, according to a recent study.
“Temperature is an inaccurate marker of serious bacterial infection in children presenting to the emergency department with fever and reliance on magnitude of fever to guide further evaluation will result in misclassification of both serious bacterial infections and self-limiting illnesses,” Sukanya De, MBBS, MD, PhD, of the University of Sydney, Australia, and colleagues wrote. “Low grade fever does not rule out serious bacterial infection at any age. Although high fever warrants careful evaluation, it does not per se rule in serious bacterial infection.”