PEDIATRICS Vol. 74 No. 6 December 1984, pp. 1131-1132
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Treatment of Occult Bacteremia

WILLIAM FELDMAN MD, FRCP (C)1

1 Department of Paediatrics, Epidemiology and Community Medicine, University of Ottawa School of Medicine, Ottawa, Ontario, Canada K1H 8M5

To the Editor.—

I am concerned about the conclusions in the paper on treatment of occult bacteremia.1 Carroll at al recommend "expectant antibiotic therapy for children who have no obvious source of infection and who have the clinical characteristics associated with occult bacteremia." As a relatively large percentage of infants aged 6 to 24 months have high fevers at one time or another, the implications of this approach were it to be widely implemented would be great.