Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Self help ambulatoriale

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Self help e percorso diagnostico di una febbre da causa sconosciuta

DIAGNOSTIC SELF HELP AND DIAGNOSTIC CRITERIA IN A CHILD WITH FEVER WITHOUT ORIGIN

LAMBERTO REGGIANI

Pediatra di famiglia, Pediatria di Gruppo, Imola

Giugno 2007 - pagg. 370 -374

Abstract
The most important innovations in the field of the diagnostic self help methods are not exactly innovations, but rather applications of the currently more used rapid tests (urine dip sticks, urine colture, C reactive protein, RAD test for the detection of SBEGA antigen on pharyngeal swab). The important thing is their rational use in diagnostic and therapeutic processes, in which the diagnostic test has its own role, but it doesn’t go out the really fundamental anamnesis and clinical valuation. This first article deals with tools available to a febrile 16 months child, whose health gives some little worries.
Parole chiave
C Reactive Protein Compressione dei pannolini usa e getta Febbre senza origine Fever without origin Likelihood ratio proteina C reattiva rapporto di verosimiglianza Sacca per l'urina Sacca per le urine Squeezing disposable diapers Strisce reattive per l'urina Strisce reattive per le urine Urine bag Urine dip sticks
Suggerite dall'AI
Febbre di origine sconosciuta Fever of unknown origin
Classificazione MeSH
Amino Acids, Peptides, and Proteins Proteins Blood Proteins Acute-Phase Proteins C-Reactive Protein (19)
Pathological Conditions, Signs and Symptoms Signs and Symptoms Body Temperature Changes Fever Fever of Unknown Origin (60)
Diagnosis Diagnostic Techniques and Procedures Medical History Taking (9)
Health Services Administration Patient Care Management Point-of-Care Systems Point-of-Care Testing (24)
Chemical Actions and Uses Specialty Uses of Chemicals Laboratory Chemicals Indicators and Reagents Reagent Kits, Diagnostic Reagent Strips (3)
Infections Bacterial Infections and Mycoses Bacterial Infections Gram-Positive Bacterial Infections Streptococcal Infections (122)
Diagnosis Diagnostic Techniques and Procedures Clinical Laboratory Techniques Clinical Chemistry Tests Urinalysis (10)
Leggi anche
EL Caso contributivo
Febbre persistente, dolore toracico e arterite di Takayasu
B. Filippini, B. Bigucci, F. Mascella, M. Gattorno · 2018
C-Reactive Protein, Fever of Unknown Origin
RI Pediatria flash
Qualche suggerimento sull’interpretazione dello stix urine
F. Emma · 2013
Reagent Strips, Urinalysis
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Bibliografia
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3. Miceli Sopo S. È sufficiente l’esame chimico fisico delle urine per fare diagnosi di infezione delle vie urinarie? Area Pediatrica 2004;2:13-6
4. Miceli Sopo S. Il rischio di ricorrenza delle infezioni delle vie urinarie. Ovvero, l’importanza della probabilità pre-test. Area Pediatrica 2004;3:15-8
5. Cincinnati Children’s Hospital Medical Center. Evidence based clinical practice guideline for fever of uncertain source in children in 2 to 36 months of age. Cincinnati Children’s Hospital Medical Center-Hospital Medical Center, 2000 (revised 2003; reviewed 2006). NGC:003783.
6. Maheswari N. How useful is C-reactive protein in detecting occult bacterial infection in young children with fever without apparent focus? Arch Dis Child 2006;91(6):533-5.
7. Galetto-Lacour A, Zamora SA, Gervaix A. Bedside procalcitonin and C-reactive protein tests in children with fever without localizing signs of infection seen in a referral center. Pediatrics 2003;112(5):1054-60.

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