Efficacy of Yale observation scale to detect serious bacterial infection in febrile children aged one to 36 months

Kansakar, Prerana; Shrestha, Prakash Sundar; Shrestha, Merina

doi:10.3126/jpahs.v1i2.16641

Cited by 2 publications

(2 citation statements)

References 18 publications

(19 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar results were found in kansakar P et al, and Bang et al, with 59% and 59.36% respectively of male children. 5,15,16 Since male is the preferred gender in India and more number of male children are brought to health care services, so this may be the reason of higher preponderance of male over female in the present study.…”

Section: Resultsmentioning

confidence: 79%

Yale observation scale for bacterial infection in febrile children

Jain

2020

Int J Contemp Pediatr

View full text Add to dashboard Cite

Background: Sepsis is one of the leading causes of mortality in children under 5 years by UNICEF statistics which is difficult to diagnose because of nonspecific initial clinical presentation and potential for rapid deterioration. In this regard use of Yale Observation Scale assists in early recognition of serious bacterial infection than other laboratory investigation as it is simple, quick, easy to apply and cost-effective bed side scale.Methods: All eligible young febrile infants and children were consecutively enrolled in the study. Axillary temperatures of the cases were documented. Yale observation scoring was done. Blood sample were sent for culture and sensitivity. Colonies were identified morphologically by Gram stain and biochemically. The collected data was analyzed using ROC curve for finding cut off scores of Yale Observation Scale for prediction of severe bacterial illness and final outcome. Statistical analysis was performed using the Statistical Packages for Social Sciences (SPSS) version 14 for MS Window.Results: Bacteremia was found in 23(15.3%) out of total 150 young febrile children enrolled in the present study. It shows that in lower YOS score blood culture was sterile and in higher YOS score blood culture was positive for bacteremia, which is statistically significant with p value (<0.05). As per ROC curve analyses the best cut off value of YOS for prediction of bacteremia was 17.5 with sensitivity 91.3%, specificity 81.9%, PPV 47.7% and NPV of 98.1%.Conclusions: YOS of >17.5 has a good predictive ability for prediction of bacteraemia in young febrile children.

show abstract

Section: Resultsmentioning

confidence: 79%

Yale observation scale for bacterial infection in febrile children

Jain

2020

Int J Contemp Pediatr

View full text Add to dashboard Cite

show abstract

“…Kansakar et al have found that 33% children were suffered from SBI in their study population. 21 Serious bacterial illness(SBI) contribute to 33% of cases while the commonest cause of SBI was pneumonia. This observation issimilar to a study done by McCarthy et al 22 It was observed that the sensitivity (87.7%) and specificity (70.6%) were higher in YOS >12 to detect SBI.…”

Section: Discussionmentioning

confidence: 99%

Yale observational score (YOS) to detect serious bacterial infections in young febrile children

Sethy¹,

Sethy

Pattanaik³

et al. 2022

PJMS

View full text Add to dashboard Cite

Fever is one of the common presentation of children to paediatric emergency. Fever is defined as axillary temperature of ≥ 99.5 °F. A young febrile child without definite localizing sign of infection may develop bacteraemia and serious bacterial infection (SBI) leading to fatal outcome. Hence, an early diagnosis of SBI in a febrile child is crucial to reduce childhood mortality. Yale observation scale utilizes some simple clinical parameters to predict serious bacterial infection in young children. Hence this study is undertaken to test the utility of YOS in predicting serious bacterial infection in small children so as to investigate them in time and start treatment early to prevent complications. 150 consecutive children 1-36 months of age with axillary temperature>99.5 ̊F were enrolled and YOS scoring assigned to each of them. This was followed by physical examination and extensive laboratory testing with CBC, Urine and routine microscopy, chest x-ray, CRP, blood and urine cultures. In patients with SBI, the YOS of ≤10 was observed in only 9.23% (6/65) of patients compared to 48.24% (41/85) of patients without SBI. There was a significantly high YOS i.e. >10 in patients diagnosed with SBI (χ =24.26; P <0.0001).Mean temperature elevation, higher values of TLC, ANC and CRP positivity results in higher YOS scoring and more chance to have serious bacterial infection. : YOS score is very useful in ruling out serious bacterial infection in 1-36 months age group at cut-off value of 12. Significantly higher scores (>16) depict essentially serious bacterial infection and poorer outcome.

show abstract

Efficacy of Yale observation scale to detect serious bacterial infection in febrile children aged one to 36 months

Cited by 2 publications

References 18 publications

Yale observation scale for bacterial infection in febrile children

Yale observation scale for bacterial infection in febrile children

Yale observational score (YOS) to detect serious bacterial infections in young febrile children

Contact Info

Product

Resources

About