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Feb 07, 2017
Keep Kids out of the Hospital
Reduce Unnecessary Care
Infants in the first two months of life have a higher risk of serious bacterial infection, including meningitis. Standard care includes evaluation of blood, urine and spinal fluid for infection followed by empiric treatment until cultures results are available. Review of recent evidence documented very low risk for meningitis in well-appearing infants in the second month of life who meet low-risk screening criteria after initial laboratory studies.
The Febrile Infant Clinical Pathway team reviewed existing evidence, and then reviewed the data from infants who were cared for here at Children's Hospital of Philadelphia (CHOP). The team documented the very low risk of meningitis in older infants that meet low risk criteria. They revised the existing clinical pathway, educated the team, and then implemented the change. The team continues to monitor the outcomes of all infants treated using this pathway.
Almost 100 percent of infants with fever who met low risk criteria were safely discharged home without having a spinal tap.
Updated January, 2018
By implementing a new imaging protocol, radiation exposure was decreased for children with Ventricular Shunts.
A clinician team developed a clinical pathway to accelerate the return of functional recovery following spine fusion surgery.
CHOP experts developed criteria that could identify cancer patients who could be treated safely with oral antibiotics.