We've also been taught not all neonates can be worked up based on a =
cookbook formula of fever > 101.0 =3D complete swu.
I'm a MSII at KCOM currently taking my PEDS didatic course. The =
pediatrician lecturing to us on febrile neonates has espoused the same app=
roach described by Dr. Herman re febrile wu. ie Selectivity, based on =
One additional point made to us is that a complete swu is not begnign for =
the child! Besides being very painful to the child, LP's in particular =
are not w/o risks. Suffocation and/or impaired central venous return in =
small infants from being held too tightly as well as introduction of =
bacteria/fungi to the CSF from the procedure come to mind.
Does anyone have a good source for a study re: the incidence of =
introduction of organisms into CSF from LPs? How would you know?
Best Regards and Happy New Year!
Don Van Wie MSII
Kirksville College of Osteopathic Medicine
Kirksville, MO 63501
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