Febrile Infants Aged ≤60 Days: Evaluation and Management in the Emergency Department (Pharmacology CME and Infectious Disease CME) | Points & Pearls
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Febrile Infants Aged ≤60 Days: Evaluation and Management in the Emergency Department (Pharmacology CME and Infectious Disease CME)

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Points & Pearls Excerpt

  • The 2021 American Academy of Pediatrics (AAP) clinical practice guideline has updated recommendations, including evaluation and management strategies that differ for 3 distinct age groups: (1) 8 to 21 days, (2) 22 to 28 days, and (3) 29 to 60 days.1
  • Febrile infants aged ≤21 days and ill-appearing infants of any age should have a urinalysis, with urine culture if the urinalysis is positive, blood culture, and cerebrospinal fluid (CSF) testing; receive empiric antibiotic therapy; and be hospitalized.1
  • CSF testing is no longer routinely recommended for well-appearing febrile infants aged 22 to 60 days with normal inflammatory markers, regardless of urinalysis results.1
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Publication Information
Authors

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

Peer Reviewed By

Jeffrey R. Avner, MD, FAAP; Kate Dorney, MD, MHPEd

Publication Date

February 1, 2024

CME Expiration Date

February 1, 2027    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology and 1 Infectious Disease CME credit, subject to your state and institutional approval.

Pub Med ID: 38266065

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