Evaluation and Management of the Febrile Young Infant in the Emergency Department (Infectious Disease CME) | Digest
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Evaluation and Management of the Febrile Young Infant in the Emergency Department

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Points and Pearls Excerpt

  • Multiple studies have demonstrated that observation scales and clinician suspicion for severe bacterial infection (SBI) are poorly predictive of bacterial infection in febrile infants.
  • Neonates have the highest prevalence of SBI and invasive bacterial infection. Febrile neonates should have a full sepsis workup and be hospitalized and treated with empiric antibiotic therapy.
  • At a minimum, order urine studies for the febrile infant aged 57 to 89 days, with a strong consideration to blood testing as well, as these patients are still at risk for a urinary tract infection.

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Publication Information
Authors

Lauren Palladino, MD; Christopher Woll, MD; Paul L. Aronson, MD, MHS

Peer Reviewed By

Jeffrey R. Avner, MD, FAAP; Jessica S. Williams, MD

Publication Date

July 2, 2019

CME Expiration Date

August 2, 2022

Pub Med ID: 31233304

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