{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T02:02:56Z","timestamp":1791252176615,"version":"4.1.0"},"reference-count":23,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,8,5]]},"abstract":"<jats:p>Bacteremia may be inappropriately treated as malaria in children admitted with a febrile illness in Africa. We determined the prevalence, clinical features, and spectrum of bacteremia among febrile children younger than 5 years of age admitted with a negative malaria test, but prescribed antimalarials at a referral hospital in Jinja, Uganda. After initial evaluation, a blood sample was drawn from 250 children for a complete blood count and bacterial culture. Of 250 samples cultured, 15 grew organisms presumed to be skin contaminants, and of the remaining 235 samples, 45 (19.1%) had bacteremia. <jats:italic>Staphylococcus aureus<\/jats:italic> (42%), non-typhoidal <jats:italic>Salmonella<\/jats:italic> (24%), <jats:italic>Pseudomonas aeruginosa<\/jats:italic> (11%), and <jats:italic>Streptococcus pneumoniae<\/jats:italic> (9%) were the most common bacterial isolates. On multivariate analysis, history of weight loss (odds ratio [OR] = 2.75; 95% confidence interval [CI] = 1.27\u20135.95), presence of pulmonary crackles (OR = 3.63; 95% CI = 1.40\u20139.45), and leukocytosis (OR = 2.21; 95% CI = 1.09\u20134.47) were independent predictors of bacteremia. At a referral hospital in Uganda, bacteremia was a remarkably common finding in children with febrile illness who were treated for malaria despite negative malaria test results.<\/jats:p>","DOI":"10.4269\/ajtmh.14-0494","type":"journal-article","created":{"date-parts":[[2015,6,10]],"date-time":"2015-06-10T13:03:20Z","timestamp":1433941400000},"page":"276-280","source":"Crossref","is-referenced-by-count":25,"title":["Bacteremia Among Febrile Ugandan Children Treated with Antimalarials Despite a Negative Malaria Test"],"prefix":"10.4269","volume":"93","author":[{"given":"Afizi","family":"Kibuuka","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Byakika-Kibwika","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Achan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adoke","family":"Yeka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan N.","family":"Nalyazi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Mpimbaza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip J.","family":"Rosenthal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moses 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