OBJECTIVE: To review the clinical and laboratory findings in @entity1 with @entity2259 during a 6-year period between 1989 and 1995. DESIGN: Retrospective review of medical records identified from computer-generated blood culture records. SETTING: Hurley Medical Center in Flint, Mich, a community teaching hospital affiliated with Michigan State University. MEASUREMENTS: Data concerning age, gender, race, clinical findings, laboratory features, nature of antibiotic therapy, source of @entity2259 , and outcome were obtained from @entity1 medical records. RESULTS: Most (68%) of the @entity1 with @entity2259 were <2 years of age. About 50% of the cases of invasive @entity66 in childhood occurred between February and May. Focal source of @entity2259 was as follows: 11.5% had @entity693 , 37% had @entity55 , 30% had @entity2346 media, and 33% had no focal source. Overall, 60% of @entity1 were African-Americans, although in @entity1 with @entity693 , @entity62 were predominant (p<0.04). @entity491 was present in 81% and bandemia >1,500/microL was present in 53% of @entity1 . The overall mortality was 1.6% with a case fatality rate for @entity693 of 14%. @entity114 resistance was found in 6.5% of pneumococcal isolates, although during 1 study year (1993), 17% of all pneumococcal isolates from all sources in the same hospital were found to be @entity114 resistant. CONCLUSIONS: Clinical and laboratory findings seen in @entity1 with @entity2259 at a community hospital are presented with a review of literature. Pneumococci isolated from sterile body sites were found to be less resistant to antibiotics compared with those isolated from nonsterile body sites.

XXXX in childhood: a 6-year experience in a community hospital.

@entity1 :: ('9606', 'Species') :: ['children', 'patient'] @entity66 :: ('MESH:D004194', 'Disease') :: ['pneumococcal disease'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity491 :: ('MESH:D007964', 'Disease') :: ['Leukocytosis'] @entity114 :: ('MESH:D010406', 'Chemical') :: ['penicillin', 'Penicillin'] @entity693 :: ('MESH:D008581', 'Disease') :: ['meningitis'] @entity62 :: ('MESH:D056784', 'Disease') :: ['whites'] @entity2259 :: ('MESH:D016470', 'Disease') :: ['bacteremia', 'pneumococcal bacteremia'] @entity2346 :: ('MESH:D010031', 'Disease') :: ['otitis']
@entity2259 :: (MESH:D016470,Disease) :: ['Pneumococcal bacteremia']
