2019
Physicians’ and Nurses’ Perspectives on the Decision to Perform Lumbar Punctures on Febrile Infants ≤8 Weeks Old
Aronson PL, Schaeffer P, Fraenkel L, Shapiro ED, Niccolai LM. Physicians’ and Nurses’ Perspectives on the Decision to Perform Lumbar Punctures on Febrile Infants ≤8 Weeks Old. Hospital Pediatrics 2019, 9: 405-414. PMID: 31113814, PMCID: PMC6537124, DOI: 10.1542/hpeds.2019-0002.Peer-Reviewed Original ResearchConceptsFebrile infantsPrimary care pediatriciansLumbar punctureClinical experienceGeneral emergency medicine physiciansEmergency medicine nursesPhysicians' clinical experienceEmergency medicine physiciansAcademic medical centerPhysicians' valuesPhysician assessmentClinical equipoiseMedical CenterMedicine physiciansNurses' perspectivesPhysician usePhysician's decisionInfantsPhysician practicesPhysiciansNursesParents' preferencesPediatriciansConstant comparative methodPuncture
2018
Risk Stratification of Febrile Infants ≤60 Days Old Without Routine Lumbar Puncture
Aronson PL, Wang ME, Shapiro ED, Shah SS, DePorre AG, McCulloh RJ, Pruitt CM, Desai S, Nigrovic LE, Marble RD, Leazer RC, Rooholamini SN, Sartori LF, Balamuth F, Woll C, Neuman MI. Risk Stratification of Febrile Infants ≤60 Days Old Without Routine Lumbar Puncture. Pediatrics 2018, 142: e20181879. PMID: 30425130, PMCID: PMC6317769, DOI: 10.1542/peds.2018-1879.Peer-Reviewed Original ResearchConceptsInvasive bacterial infectionsPhiladelphia criteriaFebrile infantsBacterial meningitisRisk stratificationCSF testingRochester criteriaEmergency departmentLower riskRoutine CSF testingCerebrospinal fluid testingComplex chronic conditionsRoutine lumbar punctureCase-control studyDate of visitLow-risk infantsLumbar punctureChronic conditionsHigh riskInfantsBacterial infectionsDay oldsFluid testingMeningitisRisk