The Impact of Procalcitonin on the Management of Children Aged 1 to 36 Month Presenting With a Fever Without a Source
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Procalcitonin
- Sponsor
- St. Justine's Hospital
- Enrollment
- 384
- Locations
- 1
- Primary Endpoint
- Difference in prescription of antibiotics between the two groups, excluding those treated for a bacterial infection identified by the ED investigations
- Status
- Completed
- Last Updated
- 17 years ago
Overview
Brief Summary
Serious bacterial infections are often difficult to detect in children with fever without source. Procalcitonin is a better blood marker of infection than White blood cell count and possibly than C-reactive protein. This could lead to a reduction in antibiotic prescription. Our objective is to evaluate the impact of Procalcitonin result on antibiotic prescription in children 1 to 36 month old with fever without source and our hypothesis is that it will lower the antibiotic prescription rate
Investigators
Eligibility Criteria
Inclusion Criteria
- •Children 1-36 months
- •With rectal temperature \>38.0 C
- •And no identified source of infection after history and physical examination
Exclusion Criteria
- •acquired or congenital immunodeficiency
Outcomes
Primary Outcomes
Difference in prescription of antibiotics between the two groups, excluding those treated for a bacterial infection identified by the ED investigations
Secondary Outcomes
- Difference in hospitalization rate between the two groups (excluding those hospitalized for an identified infection)
- Procalcitonin sensitivity and specificity