Testing for meningitis in children with bronchiolitis

Michael Stefanski, Ronald Williams, George McSherry, Joseph Geskey

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Viral bronchiolitis accounts for almost 20% of all-cause hospitalizations of infants (ie, children younger than age 1 year). The annual incidence of fever in viral bronchiolitis has been documented at 23% to 31%. However the incidence of concurrent serious bacterial infections is low (1%-7%), with meningitis occurring in less than 1% to 2% of cases, but lumbar puncture is performed in up to 9% of viral bronchiolitis cases. To our knowledge, no study has examined clinical factors that influence a physician’s decision to perform a lumbar puncture in the setting of viral bronchiolitis. We present a retrospective, case-control study of hospitalized infants younger than one year diagnosed with viral bronchiolitis who underwent lumbar puncture as part of an evaluation for meningitis. The objective of the study was to determine clinical factors that influence a physician’s decision to perform a lumbar puncture in the setting of viral bronchiolitis. Although the presence of apnea, cyanosis, meningeal signs, positive urine culture results, and young age were factors found to be preliminarily associated with the performance of a lumbar puncture in the setting of bronchiolitis, young age was the only significant clinical factor found after multivariable regression; no other demographic, clinical, laboratory, or radiologic variables were found to be significant.

Original languageEnglish (US)
Pages (from-to)16-19
Number of pages4
JournalThe Permanente journal
Volume18
Issue number4
DOIs
StatePublished - Sep 1 2014

Fingerprint

Viral Bronchiolitis
Bronchiolitis
Spinal Puncture
Meningitis
Physicians
Cyanosis
Age Factors
Incidence
Apnea
Bacterial Infections
Case-Control Studies
Hospitalization
Fever
Demography
Urine

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Stefanski, Michael ; Williams, Ronald ; McSherry, George ; Geskey, Joseph. / Testing for meningitis in children with bronchiolitis. In: The Permanente journal. 2014 ; Vol. 18, No. 4. pp. 16-19.
@article{cfd74e864eec49e5bc21c20646d7b354,
title = "Testing for meningitis in children with bronchiolitis",
abstract = "Viral bronchiolitis accounts for almost 20{\%} of all-cause hospitalizations of infants (ie, children younger than age 1 year). The annual incidence of fever in viral bronchiolitis has been documented at 23{\%} to 31{\%}. However the incidence of concurrent serious bacterial infections is low (1{\%}-7{\%}), with meningitis occurring in less than 1{\%} to 2{\%} of cases, but lumbar puncture is performed in up to 9{\%} of viral bronchiolitis cases. To our knowledge, no study has examined clinical factors that influence a physician’s decision to perform a lumbar puncture in the setting of viral bronchiolitis. We present a retrospective, case-control study of hospitalized infants younger than one year diagnosed with viral bronchiolitis who underwent lumbar puncture as part of an evaluation for meningitis. The objective of the study was to determine clinical factors that influence a physician’s decision to perform a lumbar puncture in the setting of viral bronchiolitis. Although the presence of apnea, cyanosis, meningeal signs, positive urine culture results, and young age were factors found to be preliminarily associated with the performance of a lumbar puncture in the setting of bronchiolitis, young age was the only significant clinical factor found after multivariable regression; no other demographic, clinical, laboratory, or radiologic variables were found to be significant.",
author = "Michael Stefanski and Ronald Williams and George McSherry and Joseph Geskey",
year = "2014",
month = "9",
day = "1",
doi = "10.7812/TPP/14-015",
language = "English (US)",
volume = "18",
pages = "16--19",
journal = "The Permanente journal",
issn = "1552-5767",
publisher = "The Permanente Press",
number = "4",

}

Testing for meningitis in children with bronchiolitis. / Stefanski, Michael; Williams, Ronald; McSherry, George; Geskey, Joseph.

In: The Permanente journal, Vol. 18, No. 4, 01.09.2014, p. 16-19.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Testing for meningitis in children with bronchiolitis

AU - Stefanski, Michael

AU - Williams, Ronald

AU - McSherry, George

AU - Geskey, Joseph

PY - 2014/9/1

Y1 - 2014/9/1

N2 - Viral bronchiolitis accounts for almost 20% of all-cause hospitalizations of infants (ie, children younger than age 1 year). The annual incidence of fever in viral bronchiolitis has been documented at 23% to 31%. However the incidence of concurrent serious bacterial infections is low (1%-7%), with meningitis occurring in less than 1% to 2% of cases, but lumbar puncture is performed in up to 9% of viral bronchiolitis cases. To our knowledge, no study has examined clinical factors that influence a physician’s decision to perform a lumbar puncture in the setting of viral bronchiolitis. We present a retrospective, case-control study of hospitalized infants younger than one year diagnosed with viral bronchiolitis who underwent lumbar puncture as part of an evaluation for meningitis. The objective of the study was to determine clinical factors that influence a physician’s decision to perform a lumbar puncture in the setting of viral bronchiolitis. Although the presence of apnea, cyanosis, meningeal signs, positive urine culture results, and young age were factors found to be preliminarily associated with the performance of a lumbar puncture in the setting of bronchiolitis, young age was the only significant clinical factor found after multivariable regression; no other demographic, clinical, laboratory, or radiologic variables were found to be significant.

AB - Viral bronchiolitis accounts for almost 20% of all-cause hospitalizations of infants (ie, children younger than age 1 year). The annual incidence of fever in viral bronchiolitis has been documented at 23% to 31%. However the incidence of concurrent serious bacterial infections is low (1%-7%), with meningitis occurring in less than 1% to 2% of cases, but lumbar puncture is performed in up to 9% of viral bronchiolitis cases. To our knowledge, no study has examined clinical factors that influence a physician’s decision to perform a lumbar puncture in the setting of viral bronchiolitis. We present a retrospective, case-control study of hospitalized infants younger than one year diagnosed with viral bronchiolitis who underwent lumbar puncture as part of an evaluation for meningitis. The objective of the study was to determine clinical factors that influence a physician’s decision to perform a lumbar puncture in the setting of viral bronchiolitis. Although the presence of apnea, cyanosis, meningeal signs, positive urine culture results, and young age were factors found to be preliminarily associated with the performance of a lumbar puncture in the setting of bronchiolitis, young age was the only significant clinical factor found after multivariable regression; no other demographic, clinical, laboratory, or radiologic variables were found to be significant.

UR - http://www.scopus.com/inward/record.url?scp=85003292768&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85003292768&partnerID=8YFLogxK

U2 - 10.7812/TPP/14-015

DO - 10.7812/TPP/14-015

M3 - Article

C2 - 25662522

AN - SCOPUS:85003292768

VL - 18

SP - 16

EP - 19

JO - The Permanente journal

JF - The Permanente journal

SN - 1552-5767

IS - 4

ER -