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Febrile young infants • serious bacterial infections • fever • sepsis • viral testing
Fever among infants in the first three months of life remains one of the most commonly encountered clinical problems in all of pediatric healthcare. Although the majority of these infants have self-limited viral illnesses, approximately 10% harbour potentially life-threatening serious bacterial infections. High-risk infants cannot be identified on the basis of history and physical exam alone. Decisions must be made regarding the extent of investigations as well as the need for antibiotic treatment and hospitalization. My research program aims to improve and standardize the care of febrile young infants, aligned with parental preferences and in view of family-centred outcomes. The overarching goals of this program are first to determine how to safely reduce invasive testing and hospitalization for febrile young infants using currently available and newer diagnostic tools, and second, to better understand parental preferences and identify barriers and facilitators for shared decision-making.
Burstein B, Plint AC, Papenburg J. Use of Radiography in Patients Diagnosed as Having Acute Bronchiolitis in US Emergency Departments, 2007-2015. JAMA. 2018;320(15):1598-1600. PMID: 30326115.
Burstein B, Upton J, Terra H, Neuman MI. Use of CT for Head Trauma: 2007-2015. Pediatrics. 2018;142(4)e20180814. PMID: 30181120.
Burstein B, Gravel J, Aronson P, Neuman MI. Emergency Department and Inpatient Clinical Decision Tools for the Management of Febrile Young Infants Among Tertiary Pediatric Centers Across Canada. Paediatr Child Health. 2018. doi: 10.1093/pch/pxy126.
Burstein B, Dubrovsky AS, Greene AW, Quach C. National survey on the impact of respiratory virus testing for the ED and inpatient management of febrile young infants. Hosp Pediatr. 2016;6(4):226-33. PMID: 27005580.
Burstein B, Fauteux-Lamarre E, Cheng A, Chalut D, Bretholz A. Simulation and web-based learning increases utilization of Bier block for forearm fracture reduction in the pediatric emergency department. Can J Emerg Med. 2016;Nov 21:1-7. PMID: 27866507.