[Ill-appearing febrile 5-week-old infant: the rule of empiric treatment].
This is a case study of a 5-week-old child, after prolonged hospitalization in the Neonatal Intensive Care Unit, with fever and urinary tract infection caused by extended-spectrum beta-lactamase (ESBL)-producing, gentamicin-resistant, Escherichia coli. This case highlights the importance of taking risk factors for resistant bacterial infection into account in young, ill-appearing infants, and suggests that in some cases empirical antibiotic treatment should be even broader than recommended by current guidelines.
Bilavsky
Efraim
E
Department of Pediatrics C, Schneider Children's Medical Center of Israel, Petach Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Singer-Harel
Dana
D
Yarden-Bilavsky
Havatzelet
H
Waisman
Yehezkel
Y
Amir
Jacob
J
D024881:Drug Resistance, Bacterial; D004926:Escherichia coli / Q000187:drug effects; D004927:Escherichia coli Infections / Q000209:etiology*; D005839:Gentamicins / Q000494:pharmacology; D006801:Humans; D007223:Infant; D007363:Intensive Care Units, Neonatal; D008297:Male
D005839:Gentamicins