Published online December 1, 2006
PEDIATRICS Vol. 118 No. 6 December 2006, pp. 2604 (doi:10.1542/peds.2006-2306)
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LETTER TO THE EDITOR

High Fever

John DiTraglia, MD
Pediatrics,
Portsmouth, OH 45662

To the Editor.—

The conclusion of the report by Trautner et al1 was that all children with a temperature >106°F should be treated with antibiotics. However, I could not tell from the report how many of those children (0?) with a temperature >106°F had no other serious disease, such as pneumonia, urinary tract infection, or underlying serious chronic disease, that would warrant antibiotics anyway.

Why wasn't the conclusion that children with a temperature >106°F and no other serious treatable disease should not be treated with antibiotics? It might be construed that treatment with antibiotics (which antibiotic?) can substitute for a cogent workup. It is important to see that complete blood counts are not worth much, though; let's stop doing them.

What was the outcome of the 3 children with serious bacterial disease who were not initially treated with antibiotics?

REFERENCE

  1. Trautner BW, Caviness AC, Gerlacher GR, Demmler G, Macias CG. Prospective evaluation of the risk of serious bacterial infection in children who present to the emergency department with hyperpyrexia (temperature of 106°F or higher). Pediatrics.2006; 118 :34 –40[Abstract/Free Full Text]
PEDIATRICS (ISSN 1098-4275). ©2006 by the American Academy of Pediatrics




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