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. 2020 Dec;10(12):1120–1125. doi: 10.1542/hpeds.2020-000638

TABLE 3.

Febrile Infants ≤60 Days Old With Positive Urinalysis Results and Bacterial Meningitis

Age, d High-Risk PMH, Yes or Noa Ill Appearance, Yes or No Peripheral WBC CSF WBCb Urine Culture Blood Culture CSF Culture
4 No No 3950 Not done E coli E coli E coli
11 No No 10 400 473 E coli E coli E coli
11 No No 15 350 2638 No growth No growth L monocytogenes
15 No Yes 12 000 53 S aureus S aureus S aureus
21 No Yes 1800 4008 No growth No growth GBS
25 No No 9670 91 Klebsiella pneumoniae K pneumoniae No growthc
26 No No 11 450 Not done E colid No growth E coli
31 No No 17 800 71 E coli E coli No growthc
39 No No 14 800e 102e No growth E coli No growthc
40 No Yes 6900 2908 No growth No growth GBS
43 Yes Yes 4310 294 No growth S pneumoniae S pneumoniae
46 No Yes 3300 33 No growth GBS GBS
53 Yesf No 24 000 3811 No growth No growth P aeruginosa
54 No Yes 4500 4680 No growth No growth N meningitidis
a

Presence of gestational age <37 wk, chronic medical condition, or antimicrobial receipt in preceding 72 h.

b

Uncorrected CSF WBC.

c

CSF culture obtained >11 h after antibiotics administered; treated as bacterial meningitis.

d

<10 000 CFUs/mL.

e

Obtained on return visit to the ED within 24 h of initial visit; infant on cefdinir.

f

Infant with ventriculo-peritoneal shunt.