With the goal of reducing unnecessary treatment, researchers investigated whether clinical signs of petechial rash or symptoms such as coughing or vomiting could be used as diagnostic markers to help confirm or rule out sepsis and/or meningitis.
Given the prevalence of vaccine hesitancy and other factors, getting kids to complete their early vaccine series by the age of two is a challenge. But what happens when distance to a provider is thrown into the mix? Do vaccination rates shift dramatically?
Findings from an Italian study suggest that procalcitonin levels, in combination with clinical features, can help emergency department staff predict poor outcomes for children with sepsis or bacterial meningitis.
Investigators in Italy recently assessed whether early administration of antibiotics improves survival in preterm infants with late-onset sepsis—and, if so, what factors come into play.
This retrospective observational study demonstrated that routine blood tests are often ineffective in determining the difference between AEFIs and other infections and that additional research into diagnostics and clinical prediction tools is required.
Among the findings from this study was the observation that lumbar puncture is underutilized in extremely preterm infants with possible late-onset meningitis.
Many countries have approved the use of one or both available protein-based vaccines for MenB, but immunization schedule policies and recommendations vary widely, and MenB vaccination coverage and surveillance data for many countries remain limited.
A study using data from Northern Ireland found that school absenteeism and low educational attainment are strongly correlated with reduced meningococcal vaccine uptake.
To combat growing vaccine hesitancy and an increasing proportion of children who are not up to date on recommended vaccinations, these authors recommend that healthcare providers engage in shared decision-making to address individual questions and concerns.
Experts warn of the looming threat of IMD as a result of reduced vaccinations during the COVID-19 pandemic, antibiotic resistance, and low serogroup B immunogenicity.