{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T22:33:21Z","timestamp":1771886001269,"version":"3.50.1"},"reference-count":24,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:sec>\n                  <jats:title\/>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>BACKGROUND<\/jats:title>\n                  <jats:p>Young infants with serious bacterial infections (SBI) or herpes simplex virus (HSV) infections may present to the emergency department (ED) with hypothermia. We sought to evaluate clinician testing and treatment preferences for infants with hypothermia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We developed, piloted, and distributed a survey of ED clinicians from 32 US pediatric hospitals between December 2022 to March 2023. Survey questions were related to the management of infants (\u226460 days of age) with hypothermia in the ED. Questions pertaining to testing and treatment preferences were stratified by age. We characterized clinician comfort with the management of infants with hypothermia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Of 1935 surveys distributed, 1231 (63.6%) were completed. The most common definition of hypothermia was a temperature of \u226436.0\u00b0C. Most respondents (67.7%) could recall caring for at least 1 infant with hypothermia in the previous 6 months. Clinicians had lower confidence in caring for infants with hypothermia compared with infants with fever (P &amp;lt; .01). The proportion of clinicians who would obtain testing was high in infants 0 to 7 days of age (97.3% blood testing for SBI, 79.7% for any HSV testing), but declined for older infants (79.3% for blood testing for SBI and 9.5% for any HSV testing for infants 22\u201360 days old). A similar pattern was noted for respiratory viral testing, hospitalization, and antimicrobial administration.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Testing and treatment preferences for infants with hypothermia varied by age and frequently reflected observed practices for febrile infants. We identified patterns in management that may benefit from greater research and implementation efforts.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2023-063000","type":"journal-article","created":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T08:07:59Z","timestamp":1701072479000},"source":"Crossref","is-referenced-by-count":11,"title":["Clinician Management Practices for Infants With Hypothermia in the Emergency Department"],"prefix":"10.1542","volume":"152","author":[{"given":"Sriram","family":"Ramgopal","sequence":"first","affiliation":[{"name":"aDivision of Emergency Medicine, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Graves","sequence":"additional","affiliation":[{"name":"bPediatric Emergency Medicine Associates (PEMA), LLC"},{"name":"cDivision of Emergency Medicine, Children\u2019s Healthcare of Atlanta, Atlanta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul L.","family":"Aronson","sequence":"additional","affiliation":[{"name":"dDepartments of Pediatrics and Emergency Medicine, Section of Pediatric Emergency Medicine, Yale School of Medicine, New Haven, Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea T.","family":"Cruz","sequence":"additional","affiliation":[{"name":"eDivisions of Pediatric Emergency Medicine and Infectious Diseases, Department of Pediatrics, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Rogers","sequence":"additional","affiliation":[{"name":"fDepartments of Emergency Medicine and Pediatrics, University of Michigan, Ann Arbor, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"for the RIsk Stratification for Hypothermic Infants (RISHI) study group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2023,11,27]]},"reference":[{"issue":"6","key":"2023120103011198500_B1","doi-asserted-by":"crossref","first-page":"e2022058213","DOI":"10.1542\/peds.2022-058213","article-title":"Hypothermia in young infants","volume":"150","author":"Graves","year":"2022","journal-title":"Pediatrics"},{"issue":"2","key":"2023120103011198500_B2","doi-asserted-by":"crossref","first-page":"e20171688","DOI":"10.1542\/peds.2017-1688","article-title":"Herpes simplex virus infection in infants 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