We thank Drs McGregor and Tung as well as Dr Kuppermann for their interest and comments on our recently published article.1 At the center of the controversy is the first sentence of our concluding statement:
Performing all of these cultures (full sepsis/meningitis workups) on admission in infants and children with typical signs and symptoms of RSV bronchiolitis and a positive RSV rapid antigen test, even in the presence of fever, is unnecessary and adds to the cost, discomfort, and stress of the hospitalization.
Purcell K, Fergie J. Respiratory Syncytial Virus Infection and the Risk of Serious Bacterial Infections. Arch Pediatr Adolesc Med. 2002;156(10):1056–1057. doi:
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