Invasive Bacterial Infections in Afebrile Infants Diagnosed With Acute Otitis Media

^aDepartment of Emergency Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York;
^bDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas;
^cDepartment of Pediatrics, University of Texas Southwestern, Dallas, Texas;
^dDivision of Emergency Medicine, Cincinnati Children’s Hospital Medical Center and Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio;
^eDepartment of Emergency Services, Children’s Minnesota, Minneapolis, Minnesota;
^fDepartment of Pediatrics, School of Medicine, University of Colorado and Children’s Hospital Colorado, Aurora, Colorado;
^gDepartment of Pediatrics, Emory University, Atlanta, Georgia;
^hDepartment of Pediatrics, Washington University School of Medicine, St. Louis, Missouri;
ⁱDepartment of Pediatrics, University of Alabama, Birmingham, Alabama;
^jDepartment of Pediatrics, University of Calgary and Alberta Children’s Hospital, Calgary, Alberta, Canada;
^kDepartment of Pediatrics, Division of Pediatric Emergency Medicine, School of Medicine, University of Utah, Salt Lake City, Utah;
^lDepartment of Pediatrics, Division of Emergency Medicine, Children’s National Health System, Washington, DC;
^mDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin;
ⁿDepartment of Pediatrics, Alfred I. duPont Hospital for Children, Wilmington, Delaware;
^oDepartment of Pediatrics, Monroe Carell Jr. Children’s Hospital at Vanderbilt, Nashville, Tennessee;
^pDepartment of Pediatrics, Rady Children’s Hospital San Diego, San Diego, California;
^qDepartment of Pediatrics, Jacobi Medical Center, Bronx, New York;
^rDepartment of Pediatrics, University of Pittsburgh Medical Center Children’s Hospital of Pittsburgh, Pittsburgh, Pennsylvania;
^sDepartment of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois;
^tDivision of Emergency Medicine, Boston Children’s Hospital, Boston, Massachusetts;
^uDepartment of Pediatrics and Emergency Medicine, Lincoln Medical Center, Bronx, New York;
^vPediatric Emergency Unit, Rio Hortega University Hospital, Valladolid, Spain;
^wDepartment of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada;
^xDepartment of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania;
^yPediatric Emergency Department, Cruces University Hospital, Bilbao, Spain;
^zDepartment of Pediatrics, School of Medicine, University of Washington and Seattle Children's Hospital, Seattle, Washington;
^aaDepartment of Emergency Medicine, Stanford University, Stanford, California;
^abDepartment of Pediatrics, University of Minnesota, Minneapolis, Minnesota;
^acDepartments of Pediatrics and Emergency Medicine, Yale School of Medicine, Yale University, New Haven, Connecticut;
^adDepartment of Pediatrics, University of Florida, Jacksonville, Jacksonville, Florida;
^aeDepartment of Emergency Medicine and Pediatrics, Oregon Health and Science University, Portland, Oregon;
^afDepartment of Emergency Medicine, University of California San Francisco, San Francisco, California;
^agDepartment of Pediatrics, University of Oklahoma, Oklahoma City, Oklahoma; and
^ahDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, New York

Drs McLaren and Dayan conceptualized and designed the study, designed the data collection instruments, coordinated and supervised data collection and transfer from other sites, performed data analyses, drafted the initial manuscript, and reviewed and revised the manuscript; Dr Cruz participated in the study design, collected local data, and reviewed and revised the manuscript; Drs Yen, Lipshaw, Bergmann, Mistry, Gutman, Ahmad, Pruitt, Thompson, Steimle, Zhao, Schuh, Thompson, Hanson, Ulrich, Meltzer, Dunnick, Schmidt, Nigrovic, Waseem, Velasco, Ali, Cullen, Gomez, Kaplan, Khanna, Strutt, Aronson, Taneja, Sheridan, Chen, and Bogie collected data at their sites and critically reviewed and revised the manuscript; Ms Wang performed data analysis and reviewed and revised the manuscript; and all authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.

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