A 29-day-old well-appearing infant has fever 101.8°F (38.8°C). UA positive for LE and nitrite; inflammatory markers low; blood culture obtained. Accor...

Question

A 29-day-old well-appearing infant has fever 101.8°F (38.8°C). UA positive for LE and nitrite; inflammatory markers low; blood culture obtained. According to AAP guidance, which is the best management?

Accepted Answer

Outpatient oral antibiotics for UTI with close follow-up if low risk

Answer

Admit all infants 29-60 days for IV antibiotics and full sepsis workup

Answer

Lumbar puncture is mandatory in all infants 29-60 days

Answer

No antibiotics until urine culture returns

Answer

Discharge without testing because infant appears well

us-usmle-step-2 MCQ (SBA): Febrile Infant (29-60 Days)

A 29-day-old well-appearing infant has fever 101.8°F (38.8°C). UA positive for LE and nitrite; inflammatory markers low; blood culture obtained. According to AAP guidance, which is the best management?