{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:11:10Z","timestamp":1777525870945,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2008,5,1]],"date-time":"2008-05-01T00:00:00Z","timestamp":1209600000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2008,5]]},"abstract":"<jats:p>The need for routine sepsis evaluation in patients who have experienced an apparent life-threatening event but lack signs of infection remains controversial. To assess their risk of a serious occult bacterial infection, records were reviewed of 95 infants in whom infections were discovered during their inpatient evaluation after an apparent life-threatening event. Noted for each patient was the presence of any suggestive findings that would have prompted a physician to consider the given type of infection in the differential diagnosis. Thirty patients had bacterial infections; all but 5 had suggestive findings. The exceptions included 1 patient with pneumonia and 4 with urinary tract infections. None of the remaining 25 patients had occult bacterial infections. In patients with an apparent life-threatening event who appear well and lack signs suggestive of a serious bacterial infection, it may be possible to forego routine sepsis evaluation beyond a chest radiograph and urine culture without risking a serious missed diagnosis.<\/jats:p>","DOI":"10.1177\/0009922807310934","type":"journal-article","created":{"date-parts":[[2007,12,5]],"date-time":"2007-12-05T20:59:12Z","timestamp":1196888352000},"page":"372-378","source":"Crossref","is-referenced-by-count":19,"title":["Infections and Apparent Life-Threatening Events"],"prefix":"10.1177","volume":"47","author":[{"given":"Robin L.","family":"Altman","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Section of General Pediatrics,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl I.","family":"Li","sequence":"additional","affiliation":[{"name":"Section of Pediatric Infectious Diseases, New York Medical College and Westchester Medical Center, Valhalla, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald A.","family":"Brand","sequence":"additional","affiliation":[{"name":"Office of Health Outcomes Research, Winthrop University Hospital, Mineola, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,5,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.157.10.1011"},{"key":"atypb2","first-page":"292","volume":"79","year":"1986","journal-title":"Pediatrics"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1177\/000992280404300409"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0847"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2003.031740"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-1878"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1136\/emj.19.1.11"},{"key":"atypb8","first-page":"79","volume":"50","year":"2002","journal-title":"Natl Vital Stat Rep"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2005.05.004"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.152.4.383"},{"key":"atypb11","first-page":"2301","volume":"71","author":"Hall K.","year":"2005","journal-title":"Am Fam Physician"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-199906000-00009"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2003.10.038"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2004.049452"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1984.02140410027010"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(77)80697-5"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922807310934","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0009922807310934","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:27:38Z","timestamp":1777393658000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0009922807310934"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,5]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2008,5]]}},"alternative-id":["10.1177\/0009922807310934"],"URL":"https:\/\/doi.org\/10.1177\/0009922807310934","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,5]]}}}