We read with interest the recent article on concurrent serious bacterial infection (SBI) in children hospitalized with respiratory syncytial virus (RSV) infection.1 The authors raised concerns about the frequency of SBI, especially in young infants with proven RSV. While the authors acknowledged the retrospective limitations of their study, one of our concerns was the exclusion of sepsis/meningitis workups performed after hospital day 1. At the time this article was published, we discharged a patient with rapid antigen–positive RSV who would have been excluded from this study, yet had a grave concurrent infection.
McGregor RS, Tung J. Concurrent Meningitis/Serious Bacterial Infection in an Infant Hospitalized With Respiratory Syncytial Virus. Arch Pediatr Adolesc Med. 2002;156(10):1055. doi:10.1001/archpedi.156.10.1055