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Investigators from Columbia University and the Children’s Hospital of Philadelphia conducted a retrospective cohort study to assess the management of afebrile infants who presented to the ED with pustules or vesicles on physical exam. All infants ≤60 days of age who presented to the ED of the study hospital from 2008–2015 represented the study sample. Among this sample, investigators used ICD-9 codes related to fluid-filled lesions to identify those likely to have had pustules or vesicles on physical exam. Among those with positive ICD-9 codes, a language processing system was used to identify words in their chart that were related to pustules or vesicles. Infants identified in this last step had their chart manually reviewed by investigators to determine whether they met inclusion criteria of an …
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