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- Title
Management of well-appearing febrile young infants aged ≤90 days.
- Authors
Burstein, Brett; Lirette, Marie-Pier; Beck, Carolyn; Chauvin-Kimoff, Laurel; Chan, Kevin
- Abstract
The evaluation and management of young infants presenting with fever remains an area of significant practice variation. While most well-appearing febrile young infants have a viral illness, identifying those at risk for invasive bacterial infections, specifically bacteremia and bacterial meningitis, is critical. This statement considers infants aged ≤90 days who present with a rectal temperature ≥38.0°C but appear well otherwise. Applying recent risk-stratification criteria to guide management and incorporating diagnostic testing with procalcitonin are advised. Management decisions for infants meeting low-risk criteria should reflect the probability of disease, consider the balance of risks and potential harm, and include parents/caregivers in shared decision-making when options exist. Optimal management may also be influenced by pragmatic considerations, such as access to diagnostic investigations, observation units, tertiary care, and follow-up. Special considerations such as temperature measurement, risk for invasive herpes simplex infection, and post-immunization fever are also discussed.
- Subjects
BACTERIAL disease prevention; BACTERIAL disease risk factors; TREATMENT of fever; BACTEREMIA diagnosis; VIRAL disease prevention; DIAGNOSIS of bacterial diseases; VIRAL disease diagnosis; BACTEREMIA prevention; HERPES simplex prevention; BACTEREMIA; PATIENT aftercare; HOSPITAL observation units; AGE distribution; CALCITONIN; TERTIARY care; BACTERIAL meningitis; RISK assessment; PREVENTIVE health services; VIRUS diseases; DISEASE management; PROBABILITY theory; DISEASE risk factors; CHILDREN
- Publication
Paediatrics & Child Health (1205-7088), 2024, Vol 29, Issue 1, p50
- ISSN
1205-7088
- Publication type
Article
- DOI
10.1093/pch/pxad085