{"id":"https://openalex.org/W2020202806","doi":"https://doi.org/10.1097/pec.0b013e318243fa50","title":"Rates of Positive Blood, Urine, and Cerebrospinal Fluid Cultures in Children Younger Than 60 Days During the Vaccination Era","display_name":"Rates of Positive Blood, Urine, and Cerebrospinal Fluid Cultures in Children Younger Than 60 Days During the Vaccination Era","publication_year":2012,"publication_date":"2012-01-21","ids":{"openalex":"https://openalex.org/W2020202806","doi":"https://doi.org/10.1097/pec.0b013e318243fa50","mag":"2020202806","pmid":"https://pubmed.ncbi.nlm.nih.gov/22270498"},"language":"en","primary_location":{"id":"doi:10.1097/pec.0b013e318243fa50","doi":"https://doi.org/10.1097/pec.0b013e318243fa50","is_oa":false,"landing_page_url":"https://doi.org/10.1097/pec.0b013e318243fa50","pdf_url":null,"source":{"id":"https://openalex.org/S4210190147","display_name":"Pediatric Emergency Care","issn_l":"0749-5161","issn":["0749-5161","1535-1815"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric Emergency Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112619583","display_name":"Eric J. Morley","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I20388574","display_name":"SUNY Upstate Medical University","ror":"https://ror.org/040kfrw16","country_code":"US","type":"education","lineage":["https://openalex.org/I20388574"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eric J. Morley","raw_affiliation_strings":["SUNY Upstate Medical University, Syracuse, NY, USA. ericjohnmorley@gmail.com","There was no financial support for this project","the SUNY Upstate Medical University, Syracuse, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"SUNY Upstate Medical University, Syracuse, NY, USA. ericjohnmorley@gmail.com","institution_ids":["https://openalex.org/I20388574"]},{"raw_affiliation_string":"There was no financial support for this project","institution_ids":[]},{"raw_affiliation_string":"the SUNY Upstate Medical University, Syracuse, NY","institution_ids":["https://openalex.org/I20388574"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075384353","display_name":"Jeff M. Lapoint","orcid":"https://orcid.org/0000-0002-1780-3614","observed_orcids":["https://orcid.org/0000-0002-1780-3614"]},"institutions":[{"id":"https://openalex.org/I20388574","display_name":"SUNY Upstate Medical University","ror":"https://ror.org/040kfrw16","country_code":"US","type":"education","lineage":["https://openalex.org/I20388574"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeff M. Lapoint","raw_affiliation_strings":["There was no financial support for this project","the SUNY Upstate Medical University, Syracuse, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"There was no financial support for this project","institution_ids":[]},{"raw_affiliation_string":"the SUNY Upstate Medical University, Syracuse, NY","institution_ids":["https://openalex.org/I20388574"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002639310","display_name":"Linnea W. Roy","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I20388574","display_name":"SUNY Upstate Medical University","ror":"https://ror.org/040kfrw16","country_code":"US","type":"education","lineage":["https://openalex.org/I20388574"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Linnea W. Roy","raw_affiliation_strings":["There was no financial support for this project","the SUNY Upstate Medical University, Syracuse, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"There was no financial support for this project","institution_ids":[]},{"raw_affiliation_string":"the SUNY Upstate Medical University, Syracuse, NY","institution_ids":["https://openalex.org/I20388574"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025258686","display_name":"Richard M. Cantor","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I20388574","display_name":"SUNY Upstate Medical University","ror":"https://ror.org/040kfrw16","country_code":"US","type":"education","lineage":["https://openalex.org/I20388574"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Richard Cantor","raw_affiliation_strings":["There was no financial support for this project","the SUNY Upstate Medical University, Syracuse, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"There was no financial support for this project","institution_ids":[]},{"raw_affiliation_string":"the SUNY Upstate Medical University, Syracuse, NY","institution_ids":["https://openalex.org/I20388574"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003394868","display_name":"William D. Grant","orcid":"https://orcid.org/0000-0001-5054-7598","observed_orcids":["https://orcid.org/0000-0001-5054-7598"]},"institutions":[{"id":"https://openalex.org/I20388574","display_name":"SUNY Upstate Medical University","ror":"https://ror.org/040kfrw16","country_code":"US","type":"education","lineage":["https://openalex.org/I20388574"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William D. Grant","raw_affiliation_strings":["There was no financial support for this project","the SUNY Upstate Medical University, Syracuse, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"There was no financial support for this project","institution_ids":[]},{"raw_affiliation_string":"the SUNY Upstate Medical University, Syracuse, NY","institution_ids":["https://openalex.org/I20388574"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029815615","display_name":"William F. Paolo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I20388574","display_name":"SUNY Upstate Medical University","ror":"https://ror.org/040kfrw16","country_code":"US","type":"education","lineage":["https://openalex.org/I20388574"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William F. Paolo","raw_affiliation_strings":["There was no financial support for this project","the SUNY Upstate Medical University, Syracuse, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"There was no financial support for this project","institution_ids":[]},{"raw_affiliation_string":"the SUNY Upstate Medical University, Syracuse, NY","institution_ids":["https://openalex.org/I20388574"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5113651124","display_name":"Susan M. Wojcik","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I20388574","display_name":"SUNY Upstate Medical University","ror":"https://ror.org/040kfrw16","country_code":"US","type":"education","lineage":["https://openalex.org/I20388574"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susan Wojcik","raw_affiliation_strings":["There was no financial support for this project","the SUNY Upstate Medical University, Syracuse, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"There was no financial support for this project","institution_ids":[]},{"raw_affiliation_string":"the SUNY Upstate Medical University, Syracuse, NY","institution_ids":["https://openalex.org/I20388574"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I20388574"],"apc_list":null,"apc_paid":null,"fwci":2.6271,"has_fulltext":false,"cited_by_count":29,"citation_normalized_percentile":{"value":0.89470428,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"28","issue":"2","first_page":"125","last_page":"130"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11961","display_name":"Neonatal and Maternal Infections","score":0.5224999785423279,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11961","display_name":"Neonatal and Maternal Infections","score":0.5224999785423279,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11174","display_name":"Pediatric Urology and Nephrology Studies","score":0.41600000858306885,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.014399999752640724,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/neonatal-sepsis","display_name":"neonatal sepsis","score":0.7020000219345093},{"id":"https://openalex.org/keywords/blood-culture-positivity","display_name":"blood culture positivity","score":0.7200000286102295},{"id":"https://openalex.org/keywords/cerebrospinal-fluid-culture","display_name":"cerebrospinal fluid culture","score":0.9599999785423279},{"id":"https://openalex.org/keywords/urinary-tract-infection","display_name":"urinary tract infection","score":0.9210000038146973},{"id":"https://openalex.org/keywords/escherichia-coli","display_name":"Escherichia coli","score":1.0},{"id":"https://openalex.org/keywords/haemophilus-influenzae","display_name":"Haemophilus influenzae","score":0.9950000047683716},{"id":"https://openalex.org/keywords/streptococcus-pneumoniae","display_name":"Streptococcus pneumoniae","score":1.0},{"id":"https://openalex.org/keywords/herd-immunity","display_name":"herd immunity","score":0.9520000219345093},{"id":"https://openalex.org/keywords/fever-of-unknown-origin","display_name":"fever of unknown origin","score":0.6639999747276306},{"id":"https://openalex.org/keywords/emergency-department-visits","display_name":"emergency department visits","score":0.5350000262260437}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9639043807983398},{"id":"https://openalex.org/C2779651940","wikidata":"https://www.wikidata.org/wiki/Q54196","display_name":"Cerebrospinal fluid","level":2,"score":0.7510068416595459},{"id":"https://openalex.org/C2780026642","wikidata":"https://www.wikidata.org/wiki/Q40924","display_name":"Urine","level":2,"score":0.7202452421188354},{"id":"https://openalex.org/C22070199","wikidata":"https://www.wikidata.org/wiki/Q192995","display_name":"Vaccination","level":2,"score":0.5751389861106873},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.40240979194641113},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.2205866277217865},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.21860471367835999}],"mesh":[{"descriptor_ui":"D000367","descriptor_name":"Age Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001424","descriptor_name":"Bacterial Infections","qualifier_ui":"Q000134","qualifier_name":"cerebrospinal fluid","is_major_topic":false},{"descriptor_ui":"D001424","descriptor_name":"Bacterial Infections","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D001424","descriptor_name":"Bacterial Infections","qualifier_ui":"Q000382","qualifier_name":"microbiology","is_major_topic":false},{"descriptor_ui":"D001424","descriptor_name":"Bacterial Infections","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D001424","descriptor_name":"Bacterial Infections","qualifier_ui":"Q000652","qualifier_name":"urine","is_major_topic":false},{"descriptor_ui":"D001769","descriptor_name":"Blood","qualifier_ui":"Q000382","qualifier_name":"microbiology","is_major_topic":true},{"descriptor_ui":"D002555","descriptor_name":"Cerebrospinal Fluid","qualifier_ui":"Q000382","qualifier_name":"microbiology","is_major_topic":true},{"descriptor_ui":"D004630","descriptor_name":"Emergencies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005334","descriptor_name":"Fever","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006753","descriptor_name":"Hospital Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009518","descriptor_name":"New York","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014556","descriptor_name":"Urine","qualifier_ui":"Q000382","qualifier_name":"microbiology","is_major_topic":true},{"descriptor_ui":"D014611","descriptor_name":"Vaccination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D032521","descriptor_name":"Immunity, Herd","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1097/pec.0b013e318243fa50","doi":"https://doi.org/10.1097/pec.0b013e318243fa50","is_oa":false,"landing_page_url":"https://doi.org/10.1097/pec.0b013e318243fa50","pdf_url":null,"source":{"id":"https://openalex.org/S4210190147","display_name":"Pediatric Emergency Care","issn_l":"0749-5161","issn":["0749-5161","1535-1815"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric Emergency Care","raw_type":"journal-article"},{"id":"pmid:22270498","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22270498","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric emergency care","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2067772537","https://openalex.org/W2095093253","https://openalex.org/W2980622069","https://openalex.org/W4288448963","https://openalex.org/W2761843353","https://openalex.org/W2282589440","https://openalex.org/W2997172295","https://openalex.org/W2163068447","https://openalex.org/W2685392977","https://openalex.org/W4284962226"],"abstract_inverted_index":{"BACKGROUND:":[0],"Fever":[1],"is":[2,40],"a":[3,41,47,61],"common":[4,192],"reason":[5],"children":[6,29,76,92,126],"present":[7],"to":[8,18,56,73,128,162,187],"the":[9,20,23,35,66,88,97,105,114,131,147],"emergency":[10,67],"department.":[11,68],"The":[12,69,197],"goal":[13],"of":[14,25,84,171,177,213],"this":[15,194,209],"study":[16,210],"was":[17,71,101,109,121,135,142,154],"determine":[19],"rates":[21],"and":[22,113,146,174,202],"etiology":[24],"bacterial":[26],"infection":[27],"in":[28,65,193,208],"younger":[30,77,93],"than":[31,78,94],"2":[32],"months":[33],"during":[34],"vaccination":[36,219],"era.":[37],"METHODS:":[38],"This":[39],"retrospective":[42],"chart":[43],"review":[44],"performed":[45],"at":[46],"tertiary":[48],"care":[49],"hospital.":[50],"Electronic":[51],"medical":[52],"records":[53],"were":[54,165,180,205],"used":[55],"identify":[57],"patients":[58,86],"who":[59],"had":[60],"workup":[62],"for":[63],"fever/sepsis":[64],"search":[70],"limited":[72],"identifying":[74],"only":[75],"60":[79,129],"days.":[80],"RESULTS:":[81],"A":[82],"total":[83],"207":[85],"satisfied":[87],"inclusion/exclusion":[89],"criteria.":[90],"In":[91,125],"28":[95],"days,":[96,130],"blood":[98,132],"culture-positive":[99,107,133,140],"rate":[100,108,117,134,141,150],"2.7%":[102],"(range,":[103,111,123,137,144,156],"0.0%-6.4%),":[104],"urine":[106,139],"10.7%":[110],"3.5%-17.8%),":[112],"cerebrospinal":[115,148],"fluid-positive":[116,149],"(excluding":[118,151],"enteroviral":[119,152],"infections)":[120,153],"0%":[122],"0.0%-3.9%).":[124],"29":[127],"1.5%":[136],"0.0%-3.6%),":[138],"8.5%":[143],"3.7%-13.3%),":[145],"1.7%":[155],"0.0%-5.0%).":[157],"Urinary":[158,183],"tract":[159,184],"infections":[160,185],"due":[161,186],"Escherichia":[163],"coli":[164,189],"very":[166,191],"common,":[167],"whereas":[168],"no":[169],"cases":[170],"Haemophilus":[172],"influenzae":[173,201],"one":[175],"case":[176],"Streptococcus":[178],"pneumoniae":[179,204],"detected.":[181],"CONCLUSIONS:":[182],"E.":[188],"are":[190],"age":[195],"group.":[196],"classic":[198],"pathogens":[199],"H.":[200],"S.":[203],"essentially":[206],"nonexistent":[207],"possibly":[211],"because":[212],"herd":[214],"immunity":[215],"obtained":[216],"through":[217],"current":[218],"practices.":[220]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":2},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2014,"cited_by_count":4},{"year":2013,"cited_by_count":5}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}