Clinical inquiries. Which infants need lumbar puncture for suspected sepsis?

نویسندگان

Sarah Wilhelm

Gary Kelsberg

Sarah Safranek

Randy Ward

چکیده

Evidence from prospective and retrospective clinical trials suggests that for infants <2 months old, only those at high risk for serious bacterial infection by standardized criteria (eg, Rochester classification) require lumbar puncture (strength of recommendation [SOR]: B, based on prospective and retrospective cohort studies). However, expert opinion suggests lumbar puncture on all infants aged 0 to 28 days with suspected sepsis, and all infants aged >2 months who are to receive empiric antibiotics (SOR: C, based on expert opinion).

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