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AAP Grand Rounds 3:31-32 (2000)
© 2000 American Academy of Pediatrics

EMERGENCY MEDICINE

Parents’Valuation of the Outcomes of Occult Bacteremia

Source: Bennett JE, Sumner W, Downs SM, Jaffe DM. Parents’ utilities for outcomes of occult bacteremia. Arch Pediatr Adolesc Med. 2000;154:43–48.

The first 20% of the full text of this article appears below.

There is tremendous variation in the management of the well-appearing, febrile child without an apparent source of infection. Practice ranges from observation and follow-up to blood tests and empiric antibiotic therapy. This difference in management may reflect variations among physicians and patients in the value placed upon potential outcomes. Bennett et al sought to describe parents’ values for potential outcomes of occult bacteremia by using utility assessment, a quantitative method that incorporates risk preference. A convenience sample of parents of children 3–36 months old (no demographic information provided) presenting to an urban children’s hospital ED were asked to rank from best to worst (using a visual analogue scale) 8 potential outcomes of various treatment strategies for the management of occult bacteremia. The outcomes ranked were: blood drawing, localized infection, hospitalization for antibiotics, meningitis with recovery, meningitis resulting in deafness, minor brain damage, severe brain damage, . . . [Full Text of this Article]

Jeffrey R. Avner, MD, FAAP
Pediatric Emergency Medicine, Albert Einstein College of Medicine, Bronx, NY