Skip Navigation LinksHome > June 2010 - Volume 26 - Issue 6 > Occult Pneumococcal Bacteremia: A Review
Pediatric Emergency Care:
doi: 10.1097/PEC.0b013e3181e15e36
CME Review Article

Occult Pneumococcal Bacteremia: A Review

Joffe, Mark D. MD*†; Alpern, Elizabeth R. MD, MSCE†‡

Collapse Box

Abstract

Occult bacteremia is primarily caused by Streptococcus pneumoniae and has been an intense clinical controversy in pediatric emergency medicine, with passionate opinions rendered from inside and outside the field. Vaccine development and widespread immunization have rapidly affected the changing epidemiology of this disease. There is a growing consensus that the reduction in incidence of occult bacteremia and the significant problem of antibiotic resistance are tipping the balance in favor of no testing and no treatment for well-appearing febrile children between 6 and 36 months of age who are immunized with Haemophilus influenzae B vaccination and PCV-7 (pneumococcal conjugate vaccine). This review of occult pneumococcal bacteremia will not only elaborate on current knowledge and clinical practice, but will also provide historical context to this fascinating phenomenon.

© 2010 Lippincott Williams & Wilkins, Inc.

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.