title: [Ill-appearing febrile 5-week-old infant: the rule of empiric treatment].
abstract: 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.
authors.affiliation: Department of Pediatrics C, Schneider Children's Medical Center of Israel, Petach Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Efraim
authors.initials: E
authors.lastname: Bilavsky
authors.forename: Dana
authors.initials: D
authors.lastname: Singer-Harel
authors.forename: Havatzelet
authors.initials: H
authors.lastname: Yarden-Bilavsky
authors.forename: Yehezkel
authors.initials: Y
authors.lastname: Waisman
authors.forename: Jacob
authors.initials: J
authors.lastname: Amir
mesh_terms: 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
chemical_list: D005839:Gentamicins