Prevalence of Serious Bacterial Infection in Young Infants with Hypothermia with Positive Respiratory Pathogen Testing

• Main Authors: Madhuri Prasad, MD (Author), John M. Morrison, MD, PhD (Author), Sumeet L. Banker, MD, MPH (Author), Jennifer Lee, MD (Author), Julie K. Wood, DO (Author), Annalise Van Meurs, MD (Author), Kathryn Westphal, MD (Author), Emma Schwendeman, MD (Author), Stephanie Berger, MD (Author), Elizabeth O. Mertens, MD (Author), Saylor McCartor, DO (Author), Meredith Mitchell, MD (Author), Clifton Lee, MD (Author), Monica D. Combs, MD (Author), Kira Molas-Torreblanca, DO, MPH (Author), Joseph A. Ewing, PhD (Author), Elizabeth E. Halvorson, MD, MS (Author), Nicholas M. Potisek, MD (Author), Sanford Williams, MD (Author), Jennifer Raffaele, MD (Author), Vignesh Dorsaiswamy, MD (Author), Evan Ingram, MD (Author), Meenu Sharma, DO (Author)
• Format: Book
• Published: Elsevier, 2024-06-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Objectives: We sought to compare the prevalence of serious bacterial infections (SBI; urinary tract infection, bacteremia, and/or meningitis) and invasive bacterial infections (IBI; bacteremia and/or meningitis) among infants with hypothermia with positive vs negative respiratory pathogen testing. Study design: We conducted a multicenter retrospective cohort study of infants ≤90 days presenting to an emergency department or directly admitted to a hospital from September 1, 2016, to May 5, 2021, with reported or documented hypothermia (≤36°C). Positive respiratory pathogen testing included positive single or multiplex nucleic acid amplification testing. The primary outcome was prevalence of SBI, defined as positive blood, urine, and/or cerebrospinal fluid culture and antibiotic treatment course; the prevalence of SBI and IBI was compared between infants with positive vs negative respiratory pathogen tests using the χ2 test. Results: Respiratory pathogen testing was obtained in 40.6% (446/1098) of infants with hypothermia; of those, 24.9% (111/446) had a positive respiratory pathogen result. Infants with a positive respiratory pathogen result were more often older, ill-appearing at presentation, and evaluated during fall/winter months. The prevalence of SBI in our cohort was 7.4%, and the prevalence of IBI was 4.5%. There were no associations between respiratory pathogen test result and SBI or IBI. Conclusions: Most young infants with hypothermia evaluated did not have respiratory pathogen testing performed. The diagnosis of SBI or IBI was not associated with a positive respiratory pathogen test. Further research is needed to understand the utility of respiratory pathogen testing in risk stratification for infants with hypothermia.

Item Description

2950-5410
10.1016/j.jpedcp.2024.200095