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The primary objective is to study the value of serum procalcitonin as a predictive marker for severe bacterial infection in febrile infants.
2200 febrile infants aged less than 3 months will prospectively be included. All infants will have a measure of Procalcitonin concentrations. Comparison of the mean value of Procalcitonin concentration in infants with and without serious Bacterial infection.
Evaluation of the area under the ROC for Procalcitonin concentration.
Serious bacterial infections are often difficult to detect in infant 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 3 month old with fever without source and our hypothesis is that it will lower the antibiotic prescription rate.
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| Measure | Description | Time Frame |
|---|---|---|
| Area under the ROC curve of the serum Procalcitonin concentration in the diagnosis of serious bacterial infections | At the day of emergency consultation for fever |
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic value (sensibility and specificity) of clinical examination versus procalcitonin | At the day of emergency consultation for fever | |
| Diagnostic value (sensibility and specificity) of complete blood count versus procalcitonin | At the day of emergency consultation for fever |
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Inclusion Criteria:
Exclusion Criteria:
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children 7 days older to 3 month older with fever
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| Name | Affiliation | Role |
|---|---|---|
| Vincent GAJDOS, MD | Assistance Publique-Hôpitaux de Paris, Hôpital Antoine Béclère | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pediatric Emergency Depatment - Hôpital Antoine Béclère | Clamart | Hauts-de-Seine | 92140 | France |
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| ID | Term |
|---|---|
| D005334 | Fever |
| D001424 | Bacterial Infections |
| ID | Term |
|---|---|
| D001832 | Body Temperature Changes |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001423 | Bacterial Infections and Mycoses |
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| Diagnostic value (sensibility and specificity) of CRP versus procalcitonin | At the day of emergency consultation for fever |
| D007239 | Infections |